Individual
ALICIA M MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3540 STATE ROUTE 59, RAVENNA, OH 44266-1352
(330) 688-9918
Mailing address
3540 STATE ROUTE 59, RAVENNA, OH 44266-1352
(330) 688-9918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.18297-NP
OH
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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