Individual
MICHAELA MARIE MENDIJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3052 VIA PRIMERO, PALMDALE, CA 93550-6624
(281) 875-5814
Mailing address
3052 VIA PRIMERO, PALMDALE, CA 93550-6624
(281) 875-5814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3658
CA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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