JUAN MEDINA

ELIZABETH, NJ
NPI1447705371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NJ  26NP0635110)
Enumeration Date2016-08-21
Last Update Date2016-08-21
Business Address
-- JUAN MEDINA LPN
275 2ND ST FL 3
ELIZABETH, NJ 07206-2058
Phone number: 973-710-7677
Mailing Address
-- JUAN MEDINA LPN
275 2ND ST FL 3
ELIZABETH, NJ 07206-2058
Phone number: 973-710-7677
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