Jeffrey Don Medina, L.Ac
Acupuncturist in Federal Way, WA. Individual provider (NPI-1).
NPI number1114094232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114094232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Don Medina
- Credential
- L.Ac
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | ac00002777 | WA | Yes |
Practice location
32040 23rd Ave SSuite 8
Federal Way, WA 98003-6031
Phone 253-529-1935
Mailing address
438 Sw 347th StFederal Way, WA 98023-8352
Phone 253-332-5610
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