Individual
ELIZABETH MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
2806 VILLA MONTEREY, SAN JOSE, CA 95111
(408) 600-7462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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