Individual
TED SANTIAGO DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8615 14TH AVE S, SEATTLE, WA 98108-4806
(206) 461-4880
Mailing address
723 SW 10TH ST, RENTON, WA 98057-5223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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