Individual
JANISA SAN AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188
(206) 901-9000
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(760) 616-0619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
07/29/2024
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