Most Relevant Information
Provider Data
| NPI Number: | 1003697400 |
| Provider Name: | STEPHANIE MENDEZ RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86328749 |
Most Important Dates
| Enumeration Date: | 10/11/2023 |
| Last Updated: | 10/11/2023 |
Provider Practice Location
140 VISTA VIEW PL
PETALUMA
CA
949524728
Practice Location Phone/Fax
| Phone: | 5629642113 |
| Fax: |
Provider Mailing Location
140 VISTA VIEW PL
PETALUMA
CA
949524728
Provider Mailing Phone/Fax
| Phone: | 5629642113 |
| Fax: |