Jaime Medina is a Driver based in Tracy, CA. Jaime Medina practices in Tracy, CA. The NPI Number for Jaime Medina is 1437690799 and holds a License No. (California).
The current practice location address for Jaime Medina is 68 E 11Th St Ste 115, Tracy, CA and can be reached out via phone at 209-666-7178.
Location: 68 E 11Th St Ste 115, Tracy, CA, 95376-4089
Provider Profile Details
NPI Number
1437690799
Provider Name
Jaime Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
68 E 11Th St Ste 115, Tracy, CA, 95376-4089
Phone Number
209-666-7178
Fax Number
Provider Enumeration Date
03/19/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
68 E 11Th St Ste 115
City
State
Zip
95376-4089
Phone Number
209-666-7178
Fax Number
Provider Business Mailing Address Details
Address
68 E 11Th St Ste 115
City
State
Zip
95376-4089
Phone Number
209-666-7178
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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