Individual
ERICK SALVADOR MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(661) 474-9389
Mailing address
602 LA PLAYA WAY, DELANO, CA 93215-4962
(661) 474-9389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087913
CA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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