DIANE M MEDINA

KENOSHA, WI
NPI1225226483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  6534930)
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
Ms. DIANE M MEDINA R.N.
1664 19TH AVE
KENOSHA, WI 53140-1650
Phone number: 262-551-2826
Mailing Address
Ms. DIANE M MEDINA R.N.
1664 19TH AVE
KENOSHA, WI 53140-1650
Phone number: 262-551-2826
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