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Individual

IVAN ARMANDO MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT-P, PSGT

Contact information

Practice address
120 W COLE BLVD STE B, CALEXICO, CA 92231-9700
(760) 277-2398
Mailing address
120 W COLE BLVD STE B, CALEXICO, CA 92231-9700
(760) 277-2398

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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