Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JACQUELINE FRANCINE MEDINA, CAC II
Active Sole ProprietorMISS JACQUELINE FRANCINE MEDINA, CAC II is a Community/Behavioral Health healthcare provider located in ALAMOSA, Colorado. NPI 1912297300 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · ALAMOSA, CO
Registration Details
- NPI Number
- 1912297300
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2011 (15.352456737032 yrs)
- Last Updated
- Apr 19, 2011
- License
-
7185 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2265 LAVA LNALAMOSA, CO, 811013578Browse CO providers · Browse ZIP 81101
- Phone
- 7195895176
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.