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1417324872
ROSE MENDIOLA
VALLEJO, CA
NPI
1417324872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA R36801214)
Enumeration Date
2015-09-01
Last Update Date
2015-09-01
Business Address
-- ROSE MENDIOLA
130 STANFORD DR
VALLEJO, CA 94589-1746
Phone number: 707-246-7971
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Mailing Address
-- ROSE MENDIOLA
130 STANFORD DR
VALLEJO, CA 94589-1746
Phone number: 707-246-7971
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