Individual
AMALIA DE LA IGLESIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 545-2329
Mailing address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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