Individual
MRS. JESSICA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 JACOBS WELL DR, AMARILLO, TX 79119-7985
(806) 470-1375
Mailing address
9111 JACOBS WELL DR, AMARILLO, TX 79119-7985
(806) 470-1375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
873095
TX
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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