ERIC MEDINA

GARDENA, CA
NPI1093029241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-07-29
Last Update Date2015-08-21
Business Address
-- ERIC MEDINA
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9124
Mailing Address
-- ERIC MEDINA
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9124
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