Individual
JACKAIRIS MARIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
622 GURLEY ST APT 136, CHATTANOOGA, TN 37405-3460
(423) 260-3595
Mailing address
622 GURLEY ST APT 136, CHATTANOOGA, TN 37405-3460
(423) 260-3595
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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