Brianda Medina

NPI #1679366140 in Shipshewana, Indiana

Provider Information

NPI Number: 1679366140
Entity Type: Individual
Name: Brianda Medina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 27, 2025
Last Updated: May 27, 2025

Practice Location

Address: 446-476 E NORTH ST
City: Shipshewana
State: Indiana
ZIP Code: 46565
Phone: (260) 768-7918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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