Individual
EDITHA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(858) 266-4206
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(858) 266-4206
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
14008
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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