Amy Medina

NPI #1003453572 in Trabuco Canyon, California

Provider Information

NPI Number: 1003453572
Entity Type: Individual
Name: Amy Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 4, 2019
Last Updated: Dec 4, 2019

Practice Location

Address: 20331 FLANAGAN RD
City: Trabuco Canyon
State: California
ZIP Code: 92679
Phone: (818) 582-8832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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