| NPI | 1952626558 |
|---|---|
| Former Name | JEANETTE MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2014-05-22 |