Individual
JOSEFINA MERCEDES MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(978) 683-4000
Mailing address
64 DURSO AVE, LAWRENCE, MA 01843-3737
(978) 835-7272
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN265054
MA
Other
Enumeration date
09/27/2018
Last updated
04/04/2022
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