Individual
SHANIA KEYLA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3186 AIRWAY AVE, COSTA MESA, CA 92626-4650
(714) 881-0427
Mailing address
1010 S ARAPAHO DR, SANTA ANA, CA 92704-2405
(714) 472-6368
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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