Individual
EDNA FABIOLA MUNOZ RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17090 AVONDALE WAY NE, REDMOND, WA 98052-4409
(425) 780-7208
Mailing address
827 MILLS PL NE, NORTH BEND, WA 98045-9440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61170676
WA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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