Organization
PATRICIA FANTONI-SALVADOR, PH.D., LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FANTONI-SALVADOR (MANAGER)
(206) 257-1061
Entity
Organization
Contact information
Practice address
10740 MERIDIAN AVE N STE 110, SEATTLE, WA 98133-9010
(206) 257-1061
(206) 257-1061
Mailing address
10002 AURORA AVE N STE 36, SEATTLE, WA 98133-9348
(206) 257-1061
(206) 257-1061
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY 60199015
WA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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