ELLEN ROSE MEDINA

CHULA VISTA, CA
NPI1356413926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
ELLEN ROSE MEDINA
1105 BROADWAY STE 206
CHULA VISTA, CA 91911-2767
Phone number: 619-426-4872
Mailing Address
ELLEN ROSE MEDINA
1105 BROADWAY STE 206
CHULA VISTA, CA 91911-2767
Phone number: 619-426-4872
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