Individual provider · Type 1 NPI
Janis Medina
Driver · Woodlynne, NJ
NPI number
1780147363
Active
Practice location
323 Cooper Ave
Woodlynne, NJ 08107-2109
Mailing address
47 Lapierre Ave
Lawnside, NJ 08045-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1780147363
Janis Medina's National Provider Identifier is 1780147363, issued on Apr 10, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Woodlynne, NJ. The record was last updated on Dec 27, 2019.