Individual
DR. JACQUELINE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 544-1200
Mailing address
927 STAGECOACH DR, LAS CRUCES, NM 88011-9095
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
59574
TX
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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