Individual
BIANCA MEDINA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GRAND CYPRESS AVE, PALMDALE, CA 93551-3675
(661) 789-1200
Mailing address
250 GRAND CYPRESS AVE, PALMDALE, CA 93551-3675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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