Jose Medina
NPI #1922404805 in Manchester, Connecticut
Provider Information
- NPI Number
- 1922404805
- Entity Type
- Individual
- Name
- Jose Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 5, 2014
- Last Updated
- Nov 5, 2014
Practice Location
- Address
- 587 MIDDLE TPKE E
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-3731
- Phone
- (860) 646-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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