Individual
GRACIELA MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2055 LINCOLN AVE, PASADENA, CA 91103-1324
(626) 398-6300
Mailing address
18657 E ARROW HWY APT D, COVINA, CA 91722-1854
(626) 243-6023
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693753
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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