Individual
JONATHAN GRUNSTEIN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1807 SW 6TH ST, BATTLE GROUND, WA 98604-3003
(360) 213-7950
Mailing address
1807 SW 6TH ST, BATTLE GROUND, WA 98604-3003
(360) 213-7950
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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