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1144091182
KELLY MENDOZA DE LA TORRE
VAN NUYS, CA
NPI
1144091182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2024-01-09
Last Update Date
2024-07-01
Business Address
KELLY MENDOZA DE LA TORRE
16360 ROSCOE BLVD STE 100
VAN NUYS, CA 91406-1206
Phone number: 855-223-7123
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Mailing Address
KELLY MENDOZA DE LA TORRE
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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