JOSE LUIS MEDINA

BAYONNE, NJ
NPI1396022562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2011-11-15
Last Update Date2011-11-15
Business Address
-- JOSE LUIS MEDINA
106 W 53RD ST APT 26
BAYONNE, NJ 07002-3356
Phone number: 718-761-9800
Mailing Address
-- JOSE LUIS MEDINA
106 W 53RD ST APT 26
BAYONNE, NJ 07002-3356
Phone number: 718-761-9800
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