Eduardo Mendoza
Case Manager/Care Coordinator in Livingston, CA. Individual provider (NPI-1).
NPI number1104592641
StatusActive
Last updated in NPPESAug 16, 2021
Details
- NPI
- 1104592641
- Entity type
- Individual (NPI-1)
- Name
- Eduardo Mendoza
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2021
- Certification date
- Aug 16, 2021
- Last updated
- Aug 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1233 E StLivingston, CA 95334-1123
Phone 209-259-7457
Mailing address
1233 E StLivingston, CA 95334-1123
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