ILLYANA DAVIS

PUYALLUP, WA
NPI1255808713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP61032956)
Enumeration Date2018-11-01
Last Update Date2024-10-11
Business Address
ILLYANA DAVIS SUDP
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
Mailing Address
ILLYANA DAVIS SUDP
1700 AIRPORT WAY S
SEATTLE, WA 98134-1618
Phone number: 206-223-3644
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