Individual
MR. EDDIE A MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
1900 E TAHQUITZ CANYON WAY STE A1, PALM SPRINGS, CA 92262-7060
(760) 327-1509
(760) 327-1509
Mailing address
1900 E TAHQUITZ WAY STE A1, PALM SPRINGS, CA 92262-7060
(760) 327-1509
(760) 327-4032
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
97767
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/18/2018
Last updated
04/18/2018
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