Individual
MISS ANDRIANNA MICHELLE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 TOM BOLT DR, EL PASO, TX 79936-4217
(915) 202-8568
Mailing address
1855 TOM BOLT DR, EL PASO, TX 79936-4217
(915) 202-8568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
917251
TX
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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