Individual
MARIA E MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
29377 RANCHO CALIFORNIA RD STE 102, TEMECULA, CA 92591-5206
(951) 595-4673
(951) 595-4673
Mailing address
425 W CAMELLIA WAY, SAN JACINTO, CA 92583-3365
(951) 537-9945
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4375
CA
Other
Enumeration date
07/13/2017
Last updated
06/16/2018
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