TERRIANN LORRAINE MEDINA

DILLSBORO, IN
NPI1033080353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: IN  CAPRC2-5662)
Additional Taxonomies172V00000X Community Health Worker
(Licence: IN  190004897)
Enumeration Date2025-09-17
Last Update Date2025-09-17
Business Address
TERRIANN LORRAINE MEDINA CAPRC
13699 US 50
DILLSBORO, IN 47018-9642
Phone number: 812-621-2481
Mailing Address
TERRIANN LORRAINE MEDINA CAPRC
13699 US 50
DILLSBORO, IN 47018-9642
Phone number: 812-621-2481