Individual
KARLA BELEN MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 CAPE CENTER DR, FAYETTEVILLE, NC 28304-2139
(910) 483-0049
Mailing address
3609 NW 62ND ST, OKLAHOMA CITY, OK 73112-1401
(405) 919-2502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10930
NC
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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