Individual
MRS. EILEEN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1641 SHERWOOD VILLAGE CIR, PLACENTIA, CA 92870-3119
(714) 746-2237
Mailing address
1641 SHERWOOD VILLAGE CIR, PLACENTIA, CA 92870-3119
(714) 746-2237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12945
CA
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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