Individual
LIDIA BALDERAS MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 W BROADWAY STE 1925, SAN DIEGO, CA 92101-8505
(619) 322-5078
Mailing address
402 W BROADWAY STE 1925, SAN DIEGO, CA 92101-8505
(619) 746-7031
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
06/13/2023
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