RUSSELL MENDEZ

HILO, HI
NPI1073149944
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
RUSSELL MENDEZ
1786 KINOOLE ST
HILO, HI 96720-5245
Phone number: 714-316-3868
Mailing Address
RUSSELL MENDEZ
1786 KINOOLE ST
HILO, HI 96720-5245
Phone number: 808-959-5855