Individual
GRACIE MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4161 W 147TH ST, LAWNDALE, CA 90260-1709
(310) 973-1300
Mailing address
811 E LA PALMA DR, INGLEWOOD, CA 90301-3758
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
11/24/2025
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