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1295339794
DESTINY A MEDA
GARDENA, CA
NPI
1295339794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-11-24
Last Update Date
2022-11-16
Business Address
DESTINY A MEDA
1508 W ARTESIA SQ APT B
GARDENA, CA 90248-4773
Phone number: 800-249-1266
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Mailing Address
DESTINY A MEDA
1000 GOODRICH BLVD
COMMERCE, CA 90022-5103
Phone number: 323-832-9795
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