Jacqueline Medina
NPI #1104671205 in Sylmar, California
Provider Information
- NPI Number
- 1104671205
- Entity Type
- Individual
- Name
- Jacqueline Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Apr 22, 2024
- Last Updated
- May 14, 2025
Practice Location
- Address
- 14119 BUCHER AVE
- City
- Sylmar
- State
- California
- ZIP Code
- 91342-1442
- Phone
- (818) 290-5307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Day Training/Habilitation Specialist |
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