Individual
ANGELICA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
1628 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 649-8300
(707) 649-8302
Mailing address
1628 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 649-8300
(707) 649-8302
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
B4K5W6G8
CA
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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