Johana L Medina

NPI #1265127922 in Aspen, Colorado

Provider Information

NPI Number: 1265127922
Entity Type: Individual
Name: Johana L Medina
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 10, 2023
Last Updated: Apr 10, 2023

Practice Location

Address: 0405 CASTLE CREEK RD
City: Aspen
State: Colorado
ZIP Code: 81611
Phone: (970) 929-5420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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