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Individual

AMANDA ROSE MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452

Taxonomy

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

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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