Individual
MISS LAURA YESENIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W WHITTIER BLVD, MONTEBELLO, CA 90640-4642
(323) 726-8080
Mailing address
12628 FOXLEY DR, WHITTIER, CA 90602-3417
(562) 964-9134
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5061
CA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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