Individual
MEDINA KANTAREVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 MAYNARD AVE, WATERLOO, IA 50701-1839
(319) 529-8077
Mailing address
1127 MAYNARD AVE, WATERLOO, IA 50701-1839
(319) 529-8077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H171780
IA
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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