Individual
MRS. AMY MARIE BOYLAN-MENDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MODESTO AVE, MODESTO, CA 95354-0414
(209) 527-4597
(209) 527-4599
Mailing address
103 MODESTO AVE, MODESTO, CA 95354-0414
(209) 527-4597
(209) 527-4599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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