ALFRED MEDINA

BAKERSFIELD, CA
NPI1073977526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1215080915)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
-- ALFRED MEDINA R1215080915
504 BERNARD ST
BAKERSFIELD, CA 93305-3018
Phone number: 661-637-2187
Mailing Address
-- ALFRED MEDINA R1215080915
504 BERNARD ST
BAKERSFIELD, CA 93305-3018
Phone number: 661-637-2187
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