Individual
JOSE MANUEL MEDINA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
915 E PALM LN, PHOENIX, AZ 85006-2116
(602) 257-3853
Mailing address
3300 N CENTRAL AVE STE 2500, PHOENIX, AZ 85012-2505
(602) 427-2370
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
271986
AZ
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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