Individual
MR. JEFFREY DON MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
32040 23RD AVE S, SUITE 8, FEDERAL WAY, WA 98003-6031
(253) 529-1935
Mailing address
438 SW 347TH ST, FEDERAL WAY, WA 98023-8352
(253) 332-5610
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00002777
WA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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