DANIEL MEDINA

CANOGA PARK, CA
NPI1538354014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-09-07
Last Update Date2007-09-07
Business Address
-- DANIEL MEDINA
7245 OWENSMOUTH AVE
CANOGA PARK, CA 91303-1530
Phone number: 818-593-4581
Mailing Address
-- DANIEL MEDINA
16731 SHERMAN WAY
VAN NUYS, CA 91406-7001
Phone number:
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