| NPI | 1295627727 |
|---|---|
| Other Name | NICK JACOB MEDINA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |