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JODIE MEGHAN MEDINA LVN
>> Licensed Vocational Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1356920029
Individual Registrant: JODIE MEGHAN MEDINA LVN
Gender: F
Sole Proprietor
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: --
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: --
Tel: 323-406-4511 Fax: --
Registration Information:
NPI: 1356920029
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164X00000X | Nursing Service Providers Licensed Vocational Nurse | CA | 709612 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
