Medina, Graciela Rebeca

Medina, Graciela Rebeca is an individual health care provider with primary practice located at 7352 Meade Ct , Fontana CA 92336-5439. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Medina, Graciela Rebeca can be contacted via phone (909) 613-0106.

Contact Information

Primary practice address
7352 Meade Ct Fontana CA 92336-5439
Phone: (909) 613-0106
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 88142 California

Profile Details

NPI number 1851995229
LBN Legal business name Medina, Graciela Rebeca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2020
Last updated Nov 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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