MAYRENDY FABIOLA SEVERINO MEDINA

SAN MATEO, CA
NPI1518413079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-08-25
Last Update Date2016-08-25
Business Address
-- MAYRENDY FABIOLA SEVERINO MEDINA
225 37TH AVE 3RD FLOOR
SAN MATEO, CA 94403-4324
Phone number: 650-508-6745
Mailing Address
-- MAYRENDY FABIOLA SEVERINO MEDINA
1405 JENEVEIN AVE
SAN BRUNO, CA 94066-4132
Phone number: