KERRY MENDOZA

ROCK ISLAND, IL
NPI1881138071
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2016-12-07
Last Update Date2016-12-07
Business Address
-- KERRY MENDOZA
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2957
Mailing Address
-- KERRY MENDOZA
1854 45TH ST
ROCK ISLAND, IL 61201-3952
Phone number: