Individual
JAQUELINE MEDALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 NATIVIDAD RD, SALINAS, CA 93906-3198
(831) 755-4500
Mailing address
1270 NATIVIDAD RD, SALINAS, CA 93906-3198
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95257145
CA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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