Individual
ISAIAS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17130 SEQUOIA ST STE 104, HESPERIA, CA 92345-1827
(844) 982-6374
Mailing address
PO BOX 3590, APPLE VALLEY, CA 92307-0071
(844) 982-6374
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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