Individual
BRIANDA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
446-476 E NORTH ST, SHIPSHEWANA, IN 46565
(260) 768-7918
Mailing address
5051 BASSETT DR, INDIANAPOLIS, IN 46235-3378
(317) 205-5523
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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