Individual
ORQUIDEA CORAL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
45800 CHALLENGER WAY SPC 280, LANCASTER, CA 93535-1405
(818) 357-6897
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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