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Individual

BRIAN MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
253 WILLIAMS ST, SAN LEANDRO, CA 94577-5834
(510) 468-4526
Mailing address
253 WILLIAMS ST, SAN LEANDRO, CA 94577-5834

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
175T00000X
Peer Specialist
Primary

Other

Enumeration date
05/18/2023
Last updated
06/16/2023
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