Mendez, Russell

Mendez, Russell is an sole proprietor health care provider with primary practice located at 1786 Kinoole St , Hilo HI 96720-5245. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Mendez, Russell can be contacted via phone (714) 316-3868.

Contact Information

Primary practice address
1786 Kinoole St Hilo HI 96720-5245
Phone: (714) 316-3868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1073149944
LBN Legal business name Mendez, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2020
Last updated Mar 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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