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JODIE MEGHAN MEDINA LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1356920029

Individual Registrant:
 JODIE MEGHAN MEDINA LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
623 S SADLER AVE  EAST LOS ANGELES, CA 90022-3327 US
Tel: 323-406-4511  Fax: --

Contact information for business:
623 S SADLER AVE  EAST LOS ANGELES, CA 90022-3327 US
Tel: 323-406-4511  Fax: --

Registration Information:
NPI: 1356920029
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CA709612

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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