John Medina
NPI #1225570450 in Pine Bluffs, Wyoming
Provider Information
- NPI Number
- 1225570450
- Entity Type
- Individual
- Name
- John Medina
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 4, 2016
- Last Updated
- Nov 4, 2016
Practice Location
- Address
- 909 CR 159
- City
- Pine Bluffs
- State
- Wyoming
- ZIP Code
- 82082
- Phone
- (307) 214-3115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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