Individual
MISS HEIDI MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7093 EL VERANO DR, BUENA PARK, CA 90620-1766
(714) 392-0199
Mailing address
7093 EL VERANO DR, BUENA PARK, CA 90620-1766
(714) 392-0199
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
97122
CA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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