Individual
JULIA ELIZABETH MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 TRASIMENO PL, HENDERSON, NV 89044-1924
(702) 743-0377
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-321602
NV
Other
Enumeration date
01/17/2024
Last updated
02/26/2024
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