Sally Ann Medico, rn
Registered Nurse, Psych/Mental Health in Eureka, CA. Individual provider (NPI-1).
NPI number1114242542
StatusActive
Last updated in NPPESMar 29, 2010
Details
- NPI
- 1114242542
- Entity type
- Individual (NPI-1)
- Name
- Miss Sally Ann Medico
- Credential
- rn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2010
- Last updated
- Mar 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 469692 | CA | Yes |
Practice location
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
Mailing address
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
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