Individual
MR. JORGE I MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
741 W COOLIDGE ST, PHOENIX, AZ 85013-2636
(602) 670-2056
Mailing address
741 W COOLIDGE ST, PHOENIX, AZ 85013-2636
(602) 670-2056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT15613
AZ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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