LETICIA MEDINA

TAYLORSVILLE, UT
NPI1568967693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-29
Last Update Date2018-03-29
Business Address
LETICIA MEDINA
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
Mailing Address
LETICIA MEDINA
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-963-4360
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