ISMAEL MEDINA

VENICE, CA
NPI1386229698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-03-17
Last Update Date2021-03-17
Business Address
ISMAEL MEDINA
204 HAMPTON DR
VENICE, CA 90291-8633
Phone number: 310-396-6468
Mailing Address
ISMAEL MEDINA
204 HAMPTON DR
VENICE, CA 90291-8633
Phone number:
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