Individual
MRS. JESSICA GAIL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
214 FEDERAL AVE, SAGINAW, MI 48607-1218
(989) 964-9597
Mailing address
214 FEDERAL AVE, SAGINAW, MI 48607-1218
(989) 964-9597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010905
MI
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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