Individual
ZYERIE IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17371 N 85TH LN, PEORIA, AZ 85382-0849
(949) 891-4891
Mailing address
17371 N 85TH LN, PEORIA, AZ 85382-0849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SLPA14273
AZ
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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