Individual
JOANNE MEDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(095) 584-7569
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95010732
CA
Other
Enumeration date
09/19/2014
Last updated
05/03/2023
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