Individual
GREGORY ERIC MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.T.C.
Contact information
Practice address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744
Mailing address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
12/26/2025
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