IVAN MEDINA

SANTA ROSA, CA
NPI1609619592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
IVAN MEDINA
2739 NAVAJO ST
SANTA ROSA, CA 95403-3223
Phone number: 707-331-3647
Mailing Address
IVAN MEDINA
2739 NAVAJO ST
SANTA ROSA, CA 95403-3223
Phone number: 707-331-3647
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