MEDICARE: VERONICA ZENDEJAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1720395999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA ZENDEJAS

Provider Business Mailing Address
First Line	:	425 PINE ST STE 2
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-2055
Country	:	US
Telephone Number	:	209-745-3101
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 PINE ST STE 2
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-2055
Country	:	US
Telephone Number	:	209-745-3101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	02/02/2012

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Directions to “ VERONICA ZENDEJAS ” Practice Location

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