Individual
JAZMINE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N LEXINGTON PKWY, DEFOREST, WI 53532-3004
(608) 417-0193
Mailing address
215 N LEXINGTON PKWY, DEFOREST, WI 53532-3004
(608) 417-0193
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
230074
WI
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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