ISMAEL MENDOZA

INDIO, CA
NPI1619342508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  6427)
Enumeration Date2015-12-03
Last Update Date2024-05-06
Business Address
Mr. ISMAEL MENDOZA
44199 MONROE ST STE C
INDIO, CA 92201-3094
Phone number: 760-863-2578
Mailing Address
Mr. ISMAEL MENDOZA
52415 AVENIDA HERRERA
LA QUINTA, CA 92253-3274
Phone number: