JACOB MEDINA

BUFFALO, NY
NPI1245585470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  244459)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
MR. JACOB MEDINA LPN
85 GELSTON ST
BUFFALO, NY 14213-1524
Phone number: 716-533-7175
Mailing Address
MR. JACOB MEDINA LPN
85 GELSTON ST
BUFFALO, NY 14213-1524
Phone number: 716-533-7175
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