Individual
AYDE ADAME MENDIBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE, LVN
Contact information
Practice address
1648 E HERNDON AVE STE 106, FRESNO, CA 93720-3381
(559) 432-7222
Mailing address
1648 E HERNDON AVE STE 106, FRESNO, CA 93720-3381
(559) 432-7222
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693884
CA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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