Individual
PATRICIA E MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IBCLC, CCE
Contact information
Practice address
9211 WASHBURN RD, DOWNEY, CA 90242-2908
(562) 254-4669
Mailing address
9211 WASHBURN RD, DOWNEY, CA 90242-2908
(562) 254-4669
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11178012
CA
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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