Most Relevant Information
Provider Data
| NPI Number: | 1003331778 |
| Provider Name: | DAISY NATALY MEDINA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95125639 |
Most Important Dates
| Enumeration Date: | 08/03/2017 |
| Last Updated: | 08/03/2017 |
Provider Practice Location
1725 W 17TH ST
SANTA ANA
CA
927062316
Practice Location Phone/Fax
| Phone: | 7148347324 |
| Fax: |
Provider Mailing Location
12321 BETTY LN
GARDEN GROVE
CA
928403470
Provider Mailing Phone/Fax
| Phone: | 7142934745 |
| Fax: |