Individual
MISS KIMBERLY MARIE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
PR 1 AVE. SAKURA, BAIROA, VILLA BLANCA INDUSTRIAL PARK, SEGUNDO PISO SUITE 235, CAGUAS, PR 00725
(787) 705-5565
Mailing address
PO BOX 536, CAGUAS, PR 00726-0536
(787) 705-5565
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7716
PR
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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