Individual
JEANETTE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7801 ACADEMY RD NE BLDG 2, SUITE 200, ALBUQUERQUE, NM 87109-3379
(505) 273-6300
Mailing address
7801 ACADEMY RD NE, SUITE 200, ALBUQUERQUE, NM 87109-3379
(505) 273-6300
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1041S0200X BEHAV/SOC
NM
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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