JOSE MENDIVIL

PHOENIX, AZ
NPI1083834501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YS0200X Counselor, School
Enumeration Date2007-04-26
Last Update Date2007-07-26
Business Address
Mr. JOSE MENDIVIL
735 E FILLMORE ST
PHOENIX, AZ 85006-3324
Phone number: 602-257-4851
Mailing Address
Mr. JOSE MENDIVIL
7043 W PURDUE AVE
PEORIA, AZ 85345-8857
Phone number: 623-878-0436