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Individual

ALEJANDRO MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
25115 AVENUE STANFORD STE A100, VALENCIA, CA 91355-1290
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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