| Doctor Name: | ALICIA MENDOZA |
| NPI Number: | 1083907109 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 789755 |
| Business Practice Address: | 1860 Walnut St Red Bluff, CA - 960803611 |
| Business Phone Number: | 5305275637 |
| Business Fax Number: | 5305270249 |
| Mailing Address: | Po Box 400, RED BLUFF |
| State: | CA |
| Postal Code: | 960800400 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2011 |
| NPI Last Update Date: | 05/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 789755 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |