Individual
MALINE ANGELICA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E DEL MAR BLVD, PASADENA, CA 91101-2714
(626) 796-2016
Mailing address
4035 CLARET CT, PALMDALE, CA 93552-5132
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3130
CA
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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