Individual
MS. CHRISTINA JENNIFER MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5700 TIERRA VIVA PL NW, ALBUQUERQUE, NM 87107-5271
(505) 341-9428
(505) 341-9428
Mailing address
5700 TIERRA VIVA PL NW, ALBUQUERQUE, NM 87107-5271
(505) 341-9428
(505) 341-9428
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1285
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z0816
—
NM
Enumeration date
12/16/2008
Last updated
12/16/2008
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