Individual
ACE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2033 GATEWAY PL STE 526, SAN JOSE, CA 95110-3712
(669) 444-5980
Mailing address
2033 GATEWAY PL STE 526, SAN JOSE, CA 95110-3712
(669) 205-1778
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
04/03/2023
Last updated
04/19/2023
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