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Primo Gregory Mendez
Driver in Stockton, California
NPI 1063122208

Primo Gregory Mendez is a Driver based in Stockton, CA. Primo Gregory Mendez practices in Stockton, CA. The NPI Number for Primo Gregory Mendez is 1063122208 and holds a License No. (California).

The current practice location address for Primo Gregory Mendez is 1136 Porter Ave, Stockton, CA and can be reached out via phone at 209-914-0094. You can also correspond with Primo Gregory Mendez through the mailing address at 1136 PORTER AVE, STOCKTON, CA - 95207-4214 (mailing address contact number: 209-914-0094).

Location: 1136 Porter Ave, Stockton, CA, 95207-4214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063122208
Provider Name
Primo Gregory Mendez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1136 Porter Ave, Stockton, CA, 95207-4214
Phone Number
209-914-0094
Fax Number
Provider Enumeration Date
11/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1136 Porter Ave
City
Stockton
State
California
Zip
95207-4214
Phone Number
209-914-0094
Fax Number
person
Provider Business Mailing Address Details
Address
1136 Porter Ave
City
Stockton
State
California
Zip
95207-4214
Phone Number
209-914-0094
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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