Jackqueline Medina
NPI #1780467589 in Vallejo, California
Provider Information
- NPI Number
- 1780467589
- Entity Type
- Individual
- Name
- Jackqueline Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 15, 2023
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 160 GLEN COVE MARINA RD E STE 102
- City
- Vallejo
- State
- California
- ZIP Code
- 94591-7290
- Phone
- (707) 648-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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