Individual
GLADYS YURIKO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 323-6127
Mailing address
103 W BROAD ST, STAMFORD, CT 06902-3713
(203) 323-6127
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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