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1902679285
KIANA LEEANN MENDIVIL
SAN JOSE, CA
NPI
1902679285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-30
Last Update Date
2024-11-14
Business Address
KIANA LEEANN MENDIVIL
298 BERNAL RD
SAN JOSE, CA 95119-1809
Phone number: 408-370-8922
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Mailing Address
KIANA LEEANN MENDIVIL
298 BERNAL RD
SAN JOSE, CA 95119-1809
Phone number: 408-370-8922
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