Medina, Mirella
Medina, Mirella is an individual health care provider with primary practice located at 2401 W Turner Rd Ste 450 , Lodi CA 95242-2191. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Medina, Mirella can be contacted via phone (209) 370-1700.Contact Information
Primary practice address
2401 W Turner Rd Ste 450
Lodi CA 95242-2191
Phone: (209) 370-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1558001685 |
|---|---|
| LBN Legal business name | Medina, Mirella |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2022 |
| Last updated | Mar 29th, 2022 - about 2 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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