Individual
ALICIA MARIE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CURTIS ST, NORTH LEWISBURG, OH 43060-9751
(614) 301-4533
Mailing address
130 CURTIS DRIVE, NORTH LEWISBURG, OH 43060
(614) 301-4533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-131616
OH
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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