Healthcare Provider Details

I. General information

NPI: 1730718842
Provider Name (Legal Business Name): MISS FAITH MENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH PALACIOZ

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49370 ROAD 426 STE B
OAKHURST CA
93644-9052
US

IV. Provider business mailing address

9370 RD 426 STE B
OAKHURST CA
93644-9052
US

V. Phone/Fax

Practice location:
  • Phone: 559-641-6321
  • Fax:
Mailing address:
  • Phone: 559-641-6321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: