Amy M Medina

NPI #1013355171 in Waterford, Michigan

Provider Information

NPI Number
1013355171
Entity Type
Individual
Name
Amy M Medina
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Jun 11, 2013
Last Updated
Jun 11, 2013

Practice Location

Address
2530 CAMPBELLGATE DR
ZIP Code
48329-3118
Phone
(248) 709-7230

Specialties & Taxonomy Codes

Specialty
Contractor

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