Individual
CRISLOREN BARBA-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 CAMELBACK ST, LATHROP, CA 95330-9643
(209) 346-0416
Mailing address
166 CAMELBACK ST, LATHROP, CA 95330-9643
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN697147
CA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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