Kenia Yulissa Medina Moreno

NPI #1003697756 in Modesto, California

Provider Information

NPI Number: 1003697756
Entity Type: Individual
Name: Kenia Yulissa Medina Moreno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 1441 FLORIDA AVE
City: Modesto
State: California
ZIP Code: 95350-4404
Phone: (209) 576-3622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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