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1811204159
DANIEL RICARDO MEDINA
SACRAMENTO, CA
NPI
1811204159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-09-08
Last Update Date
2021-11-04
Business Address
DANIEL RICARDO MEDINA
7171 BOWLING DR STE 300
SACRAMENTO, CA 95823-2043
Phone number: 916-394-9195
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Mailing Address
DANIEL RICARDO MEDINA
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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