Individual
EDWARD FLOYD MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1904 RICHLAND AVE BLDG F, CERES, CA 95307-4562
(209) 525-5043
(209) 541-2648
Mailing address
1904 RICHLAND AVE BLDG F, CERES, CA 95307-4562
(209) 525-5043
(209) 541-2648
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
05/16/2025
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