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Individual

MARIA G MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ICM CHW

Contact information

Practice address
515 W COURT ST, PASCO, WA 99301
(509) 547-2204
Mailing address
PO BOX 1323, PASCO, WA 99301
(509) 547-2204
(509) 542-8836

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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