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1255877437
TRACY KIM MENDOZA
LOS ANGELES, CA
NPI
1255877437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT34003)
Enumeration Date
2017-01-12
Last Update Date
2024-08-22
Business Address
TRACY KIM MENDOZA
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
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Mailing Address
TRACY KIM MENDOZA
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
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