Medina, Ladonna

Medina, Ladonna is an sole proprietor health care provider with primary practice located at 1409 Georgia St , Vallejo CA 94590-5705. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, Behavioral Health & Social Service Providers / Behavior Technician. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist is her primary health care specialty. Medina, Ladonna can be contacted via phone (707) 310-0863.

Contact Information

Primary practice address
1409 Georgia St Vallejo CA 94590-5705
Phone: (707) 310-0863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1932972072
LBN Legal business name Medina, Ladonna
Credentials BCEP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2023
Last updated Mar 10th, 2024 - about 9 months 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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