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1356571202
ROSA MENDOZA
LOS ANGELES, CA
NPI
1356571202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-24
Last Update Date
2009-07-24
Business Address
-- ROSA MENDOZA
1704 W MANCHESTER AVE
LOS ANGELES, CA 90047-3063
Phone number: 323-751-4778
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Mailing Address
-- ROSA MENDOZA
4098 W 139TH ST
HAWTHORNE, CA 90250-7304
Phone number: 323-751-4778
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