Individual
ALEX FABIAN IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 E HALLANDALE BEACH BLVD, STE B, HALLANDALE BEACH, FL 33009-4436
(954) 454-5559
(844) 245-1408
Mailing address
1180 E HALLANDALE BEACH BLVD, STE B, HALLANDALE BEACH, FL 33009-4436
(954) 454-5559
(844) 245-1408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA73637
FL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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