SearchWisconsin163WC1500X

Jazmine Mendez

NPI 1871244558 · on the registry since 2022 · sole proprietor

Practice

Address
215 N Lexington Pkwy
Deforest, WI 53532
Phone
(608) 417-0193

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin