NPI | 1760855761 |
---|---|
Former Name | THEATRINA ROSE MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 691036) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2015-11-12 |