MARK ANTHONY MEDINA

VANCOUVER, WA
NPI1861833725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW60699712)
Enumeration Date2013-07-08
Last Update Date2025-02-03
Business Address
MARK ANTHONY MEDINA
1498 SE TECH CENTER PL
VANCOUVER, WA 98683-9591
Phone number: 360-567-2211
Mailing Address
MARK ANTHONY MEDINA
4105 E 16TH ST
VANCOUVER, WA 98661-6205
Phone number: