Ingrid Stephanie Medina, PA-C
NPI #1063141489 in Modesto, California
Provider Information
- NPI Number
- 1063141489
- Entity Type
- Individual
- Name
- Ingrid Stephanie Medina, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 9, 2022
- Last Updated
- Jul 7, 2022
Practice Location
- Address
- 600 COFFEE RD
- City
- Modesto
- State
- California
- ZIP Code
- 95355-4201
- Phone
- (818) 503-1233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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