Individual
ESMERALDA IVETTE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EL CAJON CTC 234 N. MAGNOLIA AVE, EL CAJON, CA 92020-9202
(619) 579-8373
Mailing address
EL CAJON CTC 234 N. MAGNOLIA AVE, EL CAJON, CA 92020
(619) 579-8373
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
706834
CA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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