Individual
JOSE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3703 W KENNEWICK AVE, KENNEWICK, WA 99336-2867
(509) 492-7967
Mailing address
3703 W KENNEWICK AVE, KENNEWICK, WA 99336-2867
(509) 492-7967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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