LUIS MEDINA

TACOMA, WA
NPI1326748088
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61033705)
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
LUIS MEDINA SUDPT
2156 PACIFIC AVE
TACOMA, WA 98402-3004
Phone number: 253-200-0505
Mailing Address
LUIS MEDINA SUDPT
2156 PACIFIC AVE
TACOMA, WA 98402-3004
Phone number: 253-200-0505
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