Individual
MICHELLE LYNN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
354 SANTA FE DR, ENCINITAS, CA 92024-5142
(760) 633-6501
Mailing address
38400 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 750-1817
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
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Other
Enumeration date
11/30/2018
Last updated
12/08/2022
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