Individual
RUALDO RUBEN DE LEON POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 17TH PL S, SEATTLE, WA 98168-1615
(206) 766-6976
(206) 766-6993
Mailing address
4909 SW WAITE ST, SEATTLE, WA 98116-2326
(206) 739-1140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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