ISAIAH F OTO

MAPLE VALLEY, WA
NPI1316560048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61029070)
Enumeration Date2020-05-28
Last Update Date2020-05-28
Business Address
ISAIAH F OTO SUDPT
27203 216TH AVE SE STE 5
MAPLE VALLEY, WA 98038-3273
Phone number: 425-584-7570
Mailing Address
ISAIAH F OTO SUDPT
27203 216TH AVE SE STE 5
MAPLE VALLEY, WA 98038-3273
Phone number: 425-584-7570
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