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Individual

CHRYSTLE MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N DIVISION ST STE 2A, SALISBURY, MD 21801-5039
(661) 478-9586
Mailing address
2636 N SALISBURY BLVD # 1032, SALISBURY, MD 21801-2141

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29595

Other

Enumeration date
07/13/2018
Last updated
01/25/2023
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