Individual
AMBAR ALEHLY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N R ST, LOMPOC, CA 93436-5226
(805) 737-6071
Mailing address
1528 ASH AVE, SANTA MARIA, CA 93454-3308
(805) 478-5460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076955
CA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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