Individual
DANIELA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S IMPERIAL HWY, ANAHEIM, CA 92807-3999
(909) 839-3508
Mailing address
348 S PROSPECTORS RD UNIT 11, DIAMOND BAR, CA 91765-1673
(909) 839-3508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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