Individual
GEORGIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 764-8485
Mailing address
20TH AVE MEDICAL OFFICES, 2045 FRANKLIN STREET, DENVER, CO 80220-4562
(303) 764-8485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30865
CO
Other
Enumeration date
05/21/2007
Last updated
07/30/2007
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