Individual
CESAR ELENO SANTIBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 118TH ST NE, TULALIP, WA 98271-9492
(425) 750-1888
Mailing address
1506 118TH ST NE, TULALIP, WA 98271-9492
(425) 750-1888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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