Individual
ERICA JENNIFER MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 213, CAPULIN, CO 81124-0213
(719) 298-0862
Mailing address
PO BOX 213, CAPULIN, CO 81124-0213
(719) 298-0862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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