Russell Mendez

NPI #1073149944 in Hilo, Hawaii

Provider Information

NPI Number: 1073149944
Entity Type: Individual
Name: Russell Mendez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Mar 23, 2020
Last Updated: Mar 23, 2020

Practice Location

Address: 1786 KINOOLE ST
City: Hilo
State: Hawaii
ZIP Code: 96720-5245
Phone: (714) 316-3868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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