Individual
DANIELLE LORRAINE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1165 MONTURA RD, SAN MARCOS, CA 92078-5228
(208) 604-5405
Mailing address
1165 MONTURA RD, SAN MARCOS, CA 92078-5228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029285
CA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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