Individual
CAMILLE CECELIA GRACE MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11713 STAR JASMINE CIR, MORENO VALLEY, CA 92557-6027
(951) 415-7379
Mailing address
11713 STAR JASMINE CIR, MORENO VALLEY, CA 92557-6027
(951) 415-7379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 36791
CA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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