Individual
JOSE ANTONIO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34503 9TH AVE SOUTH, #220, FEDERAL WAY, WA 98003
(253) 383-5777
(253) 627-0855
Mailing address
316 MLK JR WAY, #212, TACOMA, WA 98405
(253) 383-5777
(253) 627-0855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A98423
CA
208000000X
Pediatrics Physician
Primary
MD60020295
WA
Other
Enumeration date
05/08/2007
Last updated
09/21/2012
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