Most Relevant Information
Provider Data
NPI Number: | 1003390964 |
Provider Name: | DINNETTE ARACELY MEDINA MA |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/18/2018 |
Last Updated: | 09/18/2018 |
Provider Practice Location
826 DELAWARE AVE
BETHLEHEM
PA
180151174
Practice Location Phone/Fax
Phone: | 6104193101 |
Fax: |
Provider Mailing Location
2839 RHONDA LN
ALLENTOWN
PA
181037457
Provider Mailing Phone/Fax
Phone: | 4845544615 |
Fax: |