Individual
LESLIE YESENIA MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPA
Contact information
Practice address
16500 VENTURA BLVD, SUITE 414, ENCINO, CA 91436-2011
(818) 788-1003
Mailing address
7444 WOODMAN AVE, 240, VAN NUYS, CA 91405-1561
(209) 409-4650
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2862
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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