Individual
MS. MORANDA MARIA MEDINA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
7213 W CLEVELAND AVE, WEST ALLIS, WI 53219-2539
(414) 630-9939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1111048-30
WI
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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