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NPI Code Detail

MEDICARE: JUAN JOSE CUELLAR MENDOZA

MEDICARE: JUAN JOSE CUELLAR MENDOZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1154277457
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN JOSE CUELLAR MENDOZA
Provider Business Mailing Address
First Line : 305 N 4TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4003
Country : US
Telephone Number : 402-371-1147
Fax Number : 402-371-1218
Provider Business Practice Location Address
First Line : 305 N 4TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4003
Country : US
Telephone Number : 402-371-1147
Fax Number : 402-371-1218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ JUAN JOSE CUELLAR MENDOZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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