Most Relevant Information
Provider Data
| NPI Number: | 1003025842 |
| Provider Name: | JAMES BENJAMIN MENDOZA LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00016996 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
18021 15TH AVE NE
#200
SHORELINE
WA
98155
Practice Location Phone/Fax
| Phone: | 2065241330 |
| Fax: |
Provider Mailing Location
PO BOX 12478
SEATTLE
WA
981114478
Provider Mailing Phone/Fax
| Phone: | 2067940591 |
| Fax: |