LEO GRUBA

TACOMA, WA
NPI1639926017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61498707)
Enumeration Date2024-05-02
Last Update Date2024-05-02
Business Address
LEO GRUBA
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
Mailing Address
LEO GRUBA
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: