Individual
LUIS BURCIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 SW 142ND ST, BURIEN, WA 98166-1522
(206) 931-4809
Mailing address
134 SW 142ND ST, BURIEN, WA 98166-1522
(206) 931-4809
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
PMC55608
WA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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