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Individual

GABRIELA MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19042 NW 91ST CT, HIALEAH, FL 33018-8418
(305) 206-3726
Mailing address
19042 NW 91ST CT, HIALEAH, FL 33018-8418
(305) 206-3726

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI2266
FL
2355S0801X
Speech-Language Assistant
SPA3536
CA
252Y00000X
Early Intervention Provider Agency
Primary
FL

Other

Enumeration date
03/10/2014
Last updated
03/29/2017
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