Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenia Yulissa Medina Moreno

Individual provider Pharmacist · NPI 1003697756

Kenia Yulissa Medina Moreno is a Pharmacist in Modesto, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1441 Florida Ave
Modesto, CA 95350-4404
Phone: (209) 576-3622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 88481 (CA)

Record details

NPI number1003697756
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

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