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MR. CRISTIAAN GERONIMO MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
4100 CENTRAL AVE STE 201, RIVERSIDE, CA 92506-2930
(951) 371-6600
Mailing address
24801 PARADISE MEADOWS DR, MENIFEE, CA 92584-2668
(714) 381-8834

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019835
CA

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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