ISMAEL MEDINA LARA

EXTON, PA
NPI1053007245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
ISMAEL MEDINA LARA
728 SPRINGDALE DR
EXTON, PA 19341-2828
Phone number: 610-344-9600
Mailing Address
ISMAEL MEDINA LARA
728 SPRINGDALE DR
EXTON, PA 19341-2828
Phone number: 610-344-9600