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Aryssa Jazzmyne Mendoza

Specialist/Technologist, Speech-Language Assistant in Riverside, CA. Individual provider (NPI-1).

NPI number1063967719
StatusActive
Last updated in NPPESAug 23, 2016

Details

NPI
1063967719
Entity type
Individual (NPI-1)
Name
Aryssa Jazzmyne Mendoza
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2016
Last updated
Aug 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language Assistant––Yes
235Z00000X Speech-Language Pathologist,––

Practice location

4221 Jones Ave
Riverside, CA 92505-2918

Phone 951-403-7698

Mailing address

4221 Jones Ave
Riverside, CA 92505-2918

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