JOVANNY OMAR MENDOZA

ANAHEIM, CA
NPI1346065653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  12583)
Enumeration Date2024-11-21
Last Update Date2024-11-21
Business Address
JOVANNY OMAR MENDOZA
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 714-780-1174
Mailing Address
JOVANNY OMAR MENDOZA
1320 W PEARL ST
ANAHEIM, CA 92801-5941
Phone number: 714-780-1174
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