Individual
DUANE MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-NP
Contact information
Practice address
901 CAMPUS DR STE 102, DALY CITY, CA 94015-4930
(650) 266-8242
Mailing address
2450 LAKESIDE PKWY STE 150-11, FLOWER MOUND, TX 75022-4120
(650) 266-8242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
559005
CA
Other
Enumeration date
10/06/2005
Last updated
06/21/2022
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