Individual
GABRIELA ALEJANDRA MEDINA LIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1705 S SAN FRANCISCO ST, FLAGSTAFF, AZ 86011-2205
(928) 523-5353
Mailing address
12758 FOLIAGE CT, APPLE VALLEY, MN 55124-7978
(754) 304-7514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-100208
AZ
Other
Enumeration date
08/15/2022
Last updated
07/10/2025
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