Individual
JACQUELINE RAY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
(612) 725-1308
Mailing address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
(612) 725-1308
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
44437
NE
Other
Enumeration date
07/18/2025
Last updated
07/21/2025
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