Individual
MARIO GONZALES MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TECHNICIAN
Contact information
Practice address
4979 OLIVEHURST AVE, OLIVEHURST, CA 95961-4227
(530) 923-7900
Mailing address
4979 OLIVEHURST AVE, OLIVEHURST, CA 95961-4227
(530) 923-7900
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
45199
CA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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