Individual
MRS. ISHNA SELENA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
438 W LAS TUNAS DRIVE, SAN GABRIEL, CA 91776
(626) 570-6587
(626) 457-3257
Mailing address
1178 KARESH AVE, POMONA, CA 91767
(626) 241-5533
(626) 457-3257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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