Individual
DYANNE MEDINA-JARRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-6207
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP10007
AZ
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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