Individual
ABDUL SELAM LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 S ATLANTIC STREET, SEATTLE, WA 98144
(206) 329-2050
Mailing address
2103 S ATLANTIC ST, SEATTLE, WA 98144-3615
(206) 329-2050
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
CG60762294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60762294
DEPARTMENT OF HEALTH
WA
Enumeration date
06/08/2017
Last updated
07/21/2022
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