ELLYN MEDRANO, COTA/L

Contractor

Active Individual
NPI: 1487164125

Practice Address

8016 PETROGLYPH AVE NW
Albuquerque, NM 87120

Phone: (505) 228-5050

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 3813 (NM)

Frequently Asked Questions

NPI 1487164125 is the National Provider Identifier for ELLYN MEDRANO, COTA/L, a Contractor provider located in Albuquerque, NM. This NPI was enumerated on October 9, 2017.
ELLYN MEDRANO, COTA/L practices at 8016 PETROGLYPH AVE NW, Albuquerque, NM 87120.

Quick Facts

NPI
1487164125
Type
Individual
Enumerated
Oct 9, 2017
Last Updated
Oct 9, 2017

Nearby Providers