NPI 1003697756
Kenia Yulissa Medina Moreno
Practice location
- Address
- 1441 Florida Ave, Modesto, CA 95350-4404
- Phone
- (209) 576-3622
- Mailing address
- 2237 McAllister Ln, Riverbank, CA 95367-2673
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1003697756
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2023
- Record last updated
- 9 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.