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Individual

AHTZIRY GRANADOS GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 RAINIER AVE S, SEATTLE, WA 98144-4606
(206) 302-2350
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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