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1790434116
KELVIN JENS MENDOZA MONCERA
RIVERSIDE, CA
NPI
1790434116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2022-07-25
Business Address
KELVIN JENS MENDOZA MONCERA
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505-3043
Phone number: 301-221-2847
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Mailing Address
KELVIN JENS MENDOZA MONCERA
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505-3043
Phone number:
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