Individual
MONICA ROSE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744
Mailing address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-VKNOID
CA
Other
Enumeration date
04/03/2025
Last updated
11/12/2025
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