Mitas Moina Balbin Medrano

NPI #1811977457 in Buckeye, Arizona

Provider Information

NPI Number: 1811977457
Entity Type: Individual
Name: Mitas Moina Balbin Medrano
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 19, 2006
Last Updated: Apr 13, 2017

Practice Location

Address: 20508 W DANIEL PL
City: Buckeye
State: Arizona
ZIP Code: 85396-3649
Phone: (650) 580-3503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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