NICOLE JENNYS MEDINA

TIGARD, OR
NPI1770612533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- NICOLE JENNYS MEDINA none
12450 SW FISCHER RD UNIT 225
TIGARD, OR 97224-2378
Phone number: 503-516-9172
Mailing Address
-- NICOLE JENNYS MEDINA none
12450 SW FISCHER RD UNIT 225
TIGARD, OR 97224-2378
Phone number: 503-516-9172