Individual
MRS. DYMPHNA I MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
210 W CONTINENTAL RD STE 130A, GREEN VALLEY, AZ 85622-3546
(520) 906-8358
Mailing address
5264 W GOLDEN VISTA WAY, TUCSON, AZ 85713-6358
(520) 780-2015
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
18456
AZ
225700000X
Massage Therapist
Primary
18456
AZ
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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