Mendoza, Dyanda (Dea) Lyn

Mendoza, Dyanda (Dea) Lyn is an sole proprietor health care provider with primary practice located at 1502 Castro St , San Francisco CA 94114-3719. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mendoza, Dyanda (Dea) Lyn can be contacted via phone (650) 823-2102.

Contact Information

Primary practice address
1502 Castro St San Francisco CA 94114-3719
Phone: (650) 823-2102
Fax: (415) 282-2573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1248 California

Profile Details

NPI number 1659634012
LBN Legal business name Mendoza, Dyanda (Dea) Lyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659634012 NPPES
California Other 1248 CALIFORNIA MASSAGE THERAPY ASSOCIATION

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