Individual
AMY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20331 FLANAGAN RD, TRABUCO CANYON, CA 92679
(818) 582-8832
Mailing address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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