Individual
JOSUE LEONEL ORTIZMELARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVE # 4199, OMAHA, NE 68105-1850
(402) 995-3499
Mailing address
4101 WOOLWORTH AVE # 4149, OMAHA, NE 68105-1850
(402) 995-3499
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
226361
AZ
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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