Individual
HEDERSON ANIBAL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12618 109TH CT NE APT H305, KIRKLAND, WA 98034-6496
(206) 915-9620
Mailing address
12618 109TH CT NE APT H305, KIRKLAND, WA 98034-6496
(206) 915-9620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60325876
WA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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