Individual
CHRISTOPHER MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
6236 QUAIL AVE, EL PASO, TX 79924-4307
(915) 204-8267
Mailing address
6236 QUAIL AVE, EL PASO, TX 79924-4307
(915) 204-8267
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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