Individual
DIANA YEZENIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 RUGBY AVE, HUNTINGTON PARK, CA 90255-4066
(323) 826-6300
Mailing address
6330 RUGBY AVE, HUNTINGTON PARK, CA 90255-4066
(323) 826-6300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
11/07/2023
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