JOHN MICHAEL MEDINA

SAN MATEO, CA
NPI1043910730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  18877)
Enumeration Date2023-03-09
Last Update Date2025-02-21
Business Address
JOHN MICHAEL MEDINA
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 650-513-6500
Mailing Address
JOHN MICHAEL MEDINA
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 506-513-6500
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