Individual
MISS STEFANI ANDREINA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 AVE HOSTOS, PONCE, PR 00716-1115
(787) 843-9393
Mailing address
12549 WESTHAVEN WAY, FORT MYERS, FL 33913-8786
(239) 745-1933
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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