Individual
BRIANA MENDIVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2413 2ND ST, EUREKA, CA 95501-0811
(707) 269-9590
(707) 444-8012
Mailing address
716 HIDDEN CREEK RD, ARCATA, CA 95521-8226
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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