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Individual

MIKAYLA MARIE MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
445 S FIGUEROA ST STE 3100, LOS ANGELES, CA 90071-1635
(213) 297-3921
Mailing address
917 BENITO AVE APT A, ALHAMBRA, CA 91803-2086
(254) 247-9800

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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