Search › Massachusetts › 124Q00000X
Jennifer Medina
NPI 1245871474 · on the registry since 2019
Practice
- Address
- 126 Audubon Ave
Braintree, MA 02184 - Phone
- (617) 913-3321
- Fax
- (781) 817-6135
- Organisation at this address
- Mass Kidz Healthy Smiles Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts