Individual
MRS. CANDY MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 WASHINGTON ST, 1301 WEST WASHINGTON STREET, ANTHONY, NM 88021-8846
(575) 882-6101
(575) 882-6926
Mailing address
1301 WASHINGTON ST, 1301 WEST WASHINGTON STREET, ANTHONY, NM 88021-8846
(575) 882-6101
(575) 882-6926
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R53615
NM
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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