Provider Demographics
NPI:1265325294
Name:PRADO LEON, OLGA ARACELI
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:ARACELI
Last Name:PRADO LEON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 37TH ST SE APT C
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-8043
Mailing Address - Country:US
Mailing Address - Phone:253-353-3348
Mailing Address - Fax:
Practice Address - Street 1:514 37TH ST SE APT C
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-8043
Practice Address - Country:US
Practice Address - Phone:253-353-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula