Individual
KIMIKA DANIELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 ECHO LN STE 350, HOUSTON, TX 77024-2750
(832) 639-2015
Mailing address
950 ECHO LN STE 350, HOUSTON, TX 77024-2750
(832) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1167837
TX
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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