Individual
MRS. FABIOLA BERENICE MEDINA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 23RD ST STE 25, COLUMBUS, NE 68601-3161
(402) 564-7900
Mailing address
2508 21ST ST, COLUMBUS, NE 68601-3226
(402) 606-0924
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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