Individual
JOHNNY YBANEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
320 E NEIDER AVE STE 105, COEUR D ALENE, ID 83815-6007
(208) 930-4944
Mailing address
320 E NEIDER AVE STE 105, COEUR D ALENE, ID 83815-6007
(208) 930-4944
(888) 443-4939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3734
ID
Other
Enumeration date
03/13/2015
Last updated
10/25/2023
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