Individual
BRIAN SALAZAR MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 IOOF AVE, REBEKAH CHILDREN'S SERVICES, GILROY, CA 95020-5204
(408) 846-2474
Mailing address
290 IOOF AVE, REBEKAH CHILDREN'S SERVICES, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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