Individual
MRS. GRACIELA P, MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5523 34TH ST, SACRAMENTO, CA 95820-4725
(916) 452-3601
(916) 453-2829
Mailing address
7711 LEMON HILL AVE, SACRAMENTO, CA 95824-3302
(916) 383-8916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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