Individual
DR. JESUS MEDINA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1550 E LINCOLN WAY, SPARKS, NV 89434-8989
(775) 332-1004
(775) 332-1014
Mailing address
1550 E LINCOLN WAY, SPARKS, NV 89434-8989
(775) 332-1004
(775) 332-1014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19413
NV
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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