Individual
SHARON MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5613 MARIOLYN CT, ELK GROVE, CA 95757-1626
(916) 274-9267
Mailing address
5613 MARIOLYN CT, ELK GROVE, CA 95757
(916) 274-9267
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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