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JOSE GERMAN MEDINA SA-C

Certified First Assistant >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1528537107

Individual Registrant:
 JOSE GERMAN MEDINA SA-C
Gender: M
Sole Proprietor

Location and contact information for practice:
10881 NW 75TH ST  MEDLEY, FL 33178-2206 US
Tel: 786-477-1159  Fax: --

Contact information for business:
10881 NW 75TH ST  MEDLEY, FL 33178-2206 US
Tel: 786-477-1159  Fax: --

Registration Information:
NPI: 1528537107
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y246ZC0007XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
Certified First Assistant
FL16-738

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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