Individual
JOSE E MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSAT, ATC, LAT
Contact information
Practice address
1118 E BRIDGEPORT AVE, SPOKANE, WA 99207-2811
(509) 331-9414
Mailing address
1118 E BRIDGEPORT AVE, SPOKANE, WA 99207-2811
(509) 331-9414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161354203
WA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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