Individual
MEAGAN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
13630 BOWMAN RD, AUBURN, CA 95603-3167
(530) 271-9858
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42308
CA
Other
Enumeration date
10/03/2022
Last updated
10/23/2024
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