Individual provider · Type 1 NPI
Rayveion Laquita Medlock, PNP
Pediatric Nurse Practitioner · Long Beach, CA
NPI number
1275004145
Active
Practice location
40 Cedar Walk Unit 2115
Long Beach, CA 90802-7922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95010266 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1275004145
Rayveion Laquita Medlock, PNP's National Provider Identifier is 1275004145, issued on Dec 17, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Long Beach, CA. The record was last updated on Dec 17, 2018.