| NPI | 1154667756 |
|---|---|
| Former Name | LIAH FERDELIZ MENDOZA DE JESUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: CA RN767070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN767070) |
| 163WC0400X Registered Nurse Case Management (Licence: CA RN767070) | |
| 163WR0400X Registered Nurse Rehabilitation (Licence: CA RN767070) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |