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Alfredo Medina
NPI 1285245845 · on the registry since 2020 · sole proprietor
Practice
- Address
- 7906 183rd Street Ct E
Puyallup, WA 98375 - Phone
- (253) 324-8110
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington