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Individual
JESSICA MEDINA-AVILEZ
Active
Individual
JESSICA MEDINA-AVILEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/19/2021
Last updated
08/15/2024
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