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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEANETTE LYNN MENDOZA

Active Sole Proprietor

JEANETTE LYNN MENDOZA is a Developmental Therapist healthcare provider located in STILLMAN VALLEY, Illinois. NPI 1326550773 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · STILLMAN VALLEY, IL

Registration Details

NPI Number
1326550773
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2017 (8.8330746283731 yrs)
Last Updated
Oct 25, 2017
Sole Proprietor
Yes

Practice Information

Address
423 W GRANT ST
STILLMAN VALLEY, IL, 610848998
Browse IL providers · Browse ZIP 61084
Phone
6187137817
Primary Specialty
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.