Individual
ISAC JOBANA MEDINA REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4999
(510) 924-0548
Mailing address
400 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4999
(510) 924-0548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW132579
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2018
Last updated
04/30/2026
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