Individual
MRS. DIANA MARCELA MEDINA-RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
518 N COURT ST, STE # C, VISALIA, CA 93291-4913
(559) 732-2394
(559) 732-5749
Mailing address
518 N COURT STREET, STE # C, VISALIA, CA 93291
(559) 732-2394
(559) 732-5749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4629601
MEDICAL
CA
Enumeration date
10/23/2006
Last updated
01/04/2017
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