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Individual

ADRIANA MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5 ARROYO CONCHAS, PLACITAS, NM 87043-9500
(505) 400-6525
Mailing address
5 ARROYO CONCHAS, PLACITAS, NM 87043-9500

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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