Individual
JACQUELINE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W PICO BLVD, LOS ANGELES, CA 90064-3417
(424) 385-7880
Mailing address
4330 W 106TH ST APT A, INGLEWOOD, CA 90304-2035
(424) 385-7880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70242
CA
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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