Individual
ARCENIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 SUSSEX CT, PALMDALE, CA 93550-6998
(661) 726-2630
Mailing address
44447 10TH ST WEST, LANCASTER, CA 93534
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
175T00000X
CA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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