Individual
MARTHA PATRICIA BANUELOS CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Mailing address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
(206) 461-6989
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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