Individual
VANESSA JADE MENDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 S 5TH AVE, NORTH RIVERSIDE, IL 60546-1216
(708) 979-2349
Mailing address
2227 S 5TH AVE, NORTH RIVERSIDE, IL 60546-1216
(708) 979-2349
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
02/27/2023
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