Individual
EMILY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 469-4699
Mailing address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
11/25/2024
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