Individual
MARJ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BAN CCRC CCM
Contact information
Practice address
108 SKYRIDGE RD NW, ISSAQUAH, WA 98027-5664
(425) 417-4615
Mailing address
108 SKYRIDGE RD NW, ISSAQUAH, WA 98027-5664
(425) 417-4615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN001582777
WA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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