JOSE LUIS MENDIVIL

RIVERSIDE, CA
NPI1417785825
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-07-25
Last Update Date2024-08-06
Business Address
JOSE LUIS MENDIVIL
3525 PRESLEY AVE
RIVERSIDE, CA 92507-4453
Phone number: 951-955-9375
Mailing Address
JOSE LUIS MENDIVIL
3525 PRESLEY AVE STE 12
RIVERSIDE, CA 92507-4453
Phone number: 951-955-9375