Kerry Mendoza
NPI #1881138071 in Rock Island, Illinois
Provider Information
- NPI Number
- 1881138071
- Entity Type
- Individual
- Name
- Kerry Mendoza
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Dec 7, 2016
- Last Updated
- Dec 7, 2016
Practice Location
- Address
- 2701 17TH ST
- City
- Rock Island
- State
- Illinois
- ZIP Code
- 61201-5351
- Phone
- (309) 779-2957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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