Individual
MARGARITA ROSARIO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 S SYCAMORE ST APT 1, SANTA ANA, CA 92707-1725
(702) 527-0133
Mailing address
1423 S SYCAMORE ST APT 1, SANTA ANA, CA 92707-1725
(702) 527-0133
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y5098915
N/A
CA
Enumeration date
10/14/2021
Last updated
10/14/2021
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