Individual
ASHLEY NICOLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(214) 575-2999
Mailing address
15820 ADDISON RD, ADDISON, TX 75001-3549
(214) 575-2999
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41215
TX
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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