Individual
JAYLEEN K MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
287 KAMOKILA BLVD, KAPOLEI, HI 96707-2081
(808) 954-8383
Mailing address
92-1332 PUNAWAINUI ST, KAPOLEI, HI 96707-2823
(928) 287-6657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
791667
CA
163W00000X
Registered Nurse
RN-75760
HI
Other
Enumeration date
04/28/2011
Last updated
03/23/2015
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