ILIAN OMAR MENDOZA

DOWNEY, CA
NPI1588130900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics
(Licence: CA  25067)
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
ILIAN OMAR MENDOZA
9333 IMPERIAL HWY
DOWNEY, CA 90242-2812
Phone number: 800-823-4040
Mailing Address
ILIAN OMAR MENDOZA
1079 GAVIOTA AVE
LONG BEACH, CA 90813-3811
Phone number: 562-708-3651
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