Individual
ANGELICA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 RAILROAD AVE, SOMERSET, NJ 08873-2724
(732) 649-3439
Mailing address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NJ41YS00748000
NJ
Other
Enumeration date
10/09/2012
Last updated
12/18/2013
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