Individual
KATIE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1720 N 62ND ST, LINCOLN, NE 68505-1202
(951) 347-4039
Mailing address
4246 MILL CREEK ST, RIVERSIDE, CA 92509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
09/19/2022
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