JACQUELINE MEDINA

Day Training/Habilitation Specialist

Active Individual
NPI: 1104671205

Practice Address

14119 BUCHER AVE
Sylmar, CA 91342

Phone: (818) 290-5307

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X No -
Day Training/Habilitation Specialist 373H00000X Yes -

Frequently Asked Questions

NPI 1104671205 is the National Provider Identifier for JACQUELINE MEDINA, a Day Training/Habilitation Specialist provider located in Sylmar, CA. This NPI was enumerated on April 22, 2024.
JACQUELINE MEDINA practices at 14119 BUCHER AVE, Sylmar, CA 91342.

Quick Facts

NPI
1104671205
Type
Individual
Enumerated
Apr 22, 2024
Last Updated
May 14, 2025

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