Individual
MISS EVELYN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
CALLE FELIPE CRUZ, 42587, QUEBRADILLAS, PR 00678-9307
(787) 644-6594
Mailing address
CALLE FELIPE CRUZ, 42587, QUEBRADILLAS, PR 00678-9307
(787) 644-6594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8283
PR
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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