Individual
ELAINE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 SUNSET LN APT 7, SEDONA, AZ 86336-4171
(630) 926-5576
Mailing address
515 SUNSET LN APT 7, SEDONA, AZ 86336-4171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5623
AZ
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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