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Individual

ANGELA RENEE MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCMA, CPT

Contact information

Practice address
12370 HESPERIA RD STE 15, VICTORVILLE, CA 92395-5808
(760) 261-5292
(760) 269-1296
Mailing address
18945 SISKIYOU RD, APPLE VALLEY, CA 92307-1532
(760) 912-2830

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
04/10/2024
Last updated
04/11/2024
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