Individual
MRS. SIMONE JOLISE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2490 W 26TH AVE, DENVER, CO 80211-5314
(720) 858-7474
Mailing address
4720 S DUDLEY ST APT 30, LITTLETON, CO 80123-1831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1654121
CO
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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