GUSTAVO BLISS MENDEZ

SALEM, OR
NPI1477338861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-08-25
Last Update Date2023-08-25
Business Address
GUSTAVO BLISS MENDEZ
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-585-4949
Mailing Address
GUSTAVO BLISS MENDEZ
4438 FERN CT NE
SALEM, OR 97305-2261
Phone number: 971-719-5309