Individual
ALIX ANDREA MEDINA VERDUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3633 CAMINO DEL RIO S STE 206, SAN DIEGO, CA 92108-4014
(619) 373-6787
Mailing address
1076 5TH AVE, CHULA VISTA, CA 91911-1959
(619) 373-6787
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM700
CA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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