Individual
AMBER MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17784 E ARIZONA PL, AURORA, CO 80017-4313
(303) 653-1874
Mailing address
17784 E ARIZONA PL, AURORA, CO 80017-4313
(303) 653-1874
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA.0000662
CO
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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