Individual
MR. DAVID MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
7200 BANCROFT AVE STE 202, OAKLAND, CA 94605-2471
(510) 577-7084
(510) 273-3713
Mailing address
7200 BANCROFT AVE STE 202, OAKLAND, CA 94605-2471
(510) 577-7084
(510) 273-3713
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
379031
CA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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