KEVIN MEDINA

SANTA MONICA, CA
NPI1376964569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-12-15
Last Update Date2013-12-15
Business Address
-- KEVIN MEDINA
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-264-6646
Mailing Address
-- KEVIN MEDINA
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-264-6646