Individual
LIDIA MARISOL MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
(415) 647-3662
Mailing address
2919 MISSION ST, SAN FRANCISCO, CA 94110-3917
(415) 229-0500
(415) 647-0740
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
06/11/2025
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