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Individual
CESAR OMAR MEDINA RUIZ
Active
Individual
CESAR OMAR MEDINA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
Primary
—
NULL
Other
Enumeration date
04/16/2025
Last updated
06/24/2026
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