Individual
DIANA MARGARITA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 602-2521
Mailing address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 602-2521
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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