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Individual
MICHELLE LYNN MEDINA
Active
Individual
MICHELLE LYNN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
NMW235883
CA
367A00000X
Advanced Practice Midwife
Primary
NMW235883
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
11/30/2018
Last updated
12/08/2022
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