Individual
ASHLEY OLMEDO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 580-3712
Mailing address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 580-3712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116328
CA
Other
Enumeration date
08/06/2018
Last updated
09/14/2023
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