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Individual

CHARLENE ROBYN MEDINA MORESCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
980 ENCHANTED WAY STE 206, SIMI VALLEY, CA 93065-0913
(800) 442-1558
(805) 581-0286
Mailing address
28341 WILLOW CT, SANTA CLARITA, CA 91350-4438
(818) 817-1346

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95035791
CA

Other

Enumeration date
07/02/2025
Last updated
07/02/2025
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