Individual
DR. ANNA MARIE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22892
CA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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