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Contact Information

LADONNA MEDINA, BCEP
1409 GEORGIA ST
VALLEJO, CA94590-5705
 Phone: 707-310-0863
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Exercise Physiologist

224Y00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for LADONNA MEDINA · (Female)

NPI Number 1932972072
Status Active
Credentials BCEP
Entity Individual
Enumeration date 10/31/2023
Last updated 03/10/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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