HECTOR MADRID

PUYALLUP, WA
NPI1376974501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00005179)
Enumeration Date2013-12-13
Last Update Date2013-12-13
Business Address
-- HECTOR MADRID
12812 101ST AVENUE CT E
PUYALLUP, WA 98373-9101
Phone number: 253-864-4770
Mailing Address
-- HECTOR MADRID
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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