Individual
DEIDRA T MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
938 VINERIDGE RUN APT 103, ALTAMONTE SPRINGS, FL 32714-1759
(904) 962-3192
Mailing address
938 VINERIDGE RUN APT 103, ALTAMONTE SPRINGS, FL 32714-1759
(904) 962-3192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14950
MA
Other
Enumeration date
03/30/2019
Last updated
10/19/2023
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