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1821794819
MELINDA DESIREE MENDOZA
SAN PEDRO, CA
NPI
1821794819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1496290123)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
MELINDA DESIREE MENDOZA
505 S PACIFIC AVE # 150
SAN PEDRO, CA 90731-2656
Phone number: 310-833-7400
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Mailing Address
MELINDA DESIREE MENDOZA
2033 S CRESCENT AVE
SAN PEDRO, CA 90731-5512
Phone number: 310-519-8723
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