Lourdes E. Medina IMF

NPI 1780017129 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1780017129
Gender Female
Enumeration Date 08/20/2013
Last Updated 10/21/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
MODESTO CA, 95355-3180, US
Phone (209) 915-9021
Business Location
500 N 9TH ST
MODESTO CA, 95350-5814, US
Phone (209) 915-9021
Taxonomy Code 106H00000X
License State California
License Number IMF74888
Remove 1780017129 NPI Number

According to our database, Lourdes E. Medina IMF NPI is 1780017129, taxonomy code is 106H00000X and license number is IMF74888, license state is located at California. Lourdes E. Medina IMF physically located at 1229 Brighton Ave Apt 217, Modesto CA, 95355-3180. NPI Number Lourdes E. Medina IMF has the Individual type.

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1780017129 NPI number is provided on an as is basis without warranty of any kind. 1780017129 is maintained by the National Plan & Provider Enumeration System. The contents of Lourdes E. Medina IMF are for informational purposes only.