ESTANISLAO MAHAN IRAOLA

SHORELINE, WA
NPI1609387026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-10-12
Last Update Date2017-10-12
Business Address
ESTANISLAO MAHAN IRAOLA
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 206-362-7282
Mailing Address
ESTANISLAO MAHAN IRAOLA
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 206-362-7282
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