Individual
MRS. BRAULIA ARLETH ALEJANDRINA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2254 W BROOK ST, YUMA, AZ 85364-4564
(928) 550-0013
Mailing address
4336 W 21ST LN, YUMA, AZ 85364-5843
(928) 920-7452
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
7614829
AZ
385HR2055X
Child Mental Illness Respite Care
Primary
7614829
AZ
Other
Enumeration date
05/10/2016
Last updated
03/13/2020
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