Individual
DYANDA (DEA) LYN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 CASTRO ST, SAN FRANCISCO, CA 94114-3719
(650) 823-2102
(415) 282-2573
Mailing address
1502 CASTRO ST, SAN FRANCISCO, CA 94114-3719
(650) 823-2102
(415) 282-2573
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1248
CALIFORNIA MASSAGE THERAPY ASSOCIATION
CA
Enumeration date
06/20/2012
Last updated
06/20/2012
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