Individual
ALFREDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7906 183RD STREET CT E, PUYALLUP, WA 98375-9771
(253) 324-8110
Mailing address
7906 183RD STREET CT E, PUYALLUP, WA 98375-9771
(253) 324-8110
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55445
WA
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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