Individual
MISS BLANCA IDALIA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
225 E MAIN ST, OTHELLO, WA 99344-1053
(509) 488-0797
(509) 488-1123
Mailing address
225 E MAIN ST, OTHELLO, WA 99344-1053
(509) 488-0797
(509) 488-1123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00025339
WA
Other
Enumeration date
05/29/2008
Last updated
06/03/2008
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