Individual
GLORIA MARIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 PRADERAS DEL PLATA, CAYEY, PR 00736-3159
(717) 992-5741
Mailing address
PO BOX 10000, CAYEY, PR 00737-9601
(717) 992-5741
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
4487863
PR
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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