Individual
AMBER MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 BRIW RD, PLACERVILLE, CA 95667-5321
(530) 642-4825
Mailing address
3057 BRIW RD, PLACERVILLE, CA 95667-5321
(530) 642-4825
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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