JONATHAN JAY MEDINA

ANAHEIM, CA
NPI1285198788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW109175)
Enumeration Date2019-01-29
Last Update Date2022-08-12
Business Address
JONATHAN JAY MEDINA
711 E BALL RD
ANAHEIM, CA 92805-5930
Phone number: 714-254-8473
Mailing Address
JONATHAN JAY MEDINA
711 E BALL RD
ANAHEIM, CA 92805-5930
Phone number: 714-254-8473