MISS JACQUELINE MEDINA, CAC II

Community/Behavioral Health

Active Individual
NPI: 1912297300

Practice Address

2265 LAVA LN
Alamosa, CO 81101

Phone: (719) 589-5176

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes 7185 (CO)

Frequently Asked Questions

NPI 1912297300 is the National Provider Identifier for MISS JACQUELINE MEDINA, CAC II, a Community/Behavioral Health provider located in Alamosa, CO. This NPI was enumerated on April 19, 2011.
MISS JACQUELINE MEDINA, CAC II practices at 2265 LAVA LN, Alamosa, CO 81101.

Quick Facts

NPI
1912297300
Type
Individual
Enumerated
Apr 19, 2011
Last Updated
Apr 19, 2011

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