Individual
ALDEVARAN YOALLI MENDOZA CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 CHERRY LN, MANTECA, CA 95337-4395
(209) 600-9577
Mailing address
250 CHERRY LN, MANTECA, CA 95337-4395
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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