Individual
IGNACIO RICARDO MENDOZA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1751 DUNBARTON DR, LITHONIA, GA 30058-5507
(404) 583-6481
Mailing address
1751 DUNBARTON DR, LITHONIA, GA 30058-5507
(404) 583-6481
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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