Individual
LOVELLA MEDILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5395 RUFFIN RD STE 204, SAN DIEGO, CA 92123-1338
(858) 571-3630
(858) 295-3948
Mailing address
5395 RUFFIN RD STE 204, SAN DIEGO, CA 92123-1338
(858) 571-3630
(858) 295-3948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010904
CA
363LP2300X
Primary Care Nurse Practitioner
SP020368
PA
Other
Enumeration date
06/05/2019
Last updated
04/24/2024
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