Provider Demographics
NPI:1477882926
Name:MENDELS, VALERIE (LAC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:MENDELS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 E WASHINGTON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-3600
Mailing Address - Country:US
Mailing Address - Phone:415-519-4969
Mailing Address - Fax:
Practice Address - Street 1:1580 E WASHINGTON ST STE 102
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-3600
Practice Address - Country:US
Practice Address - Phone:415-519-4969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13196171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist