Individual
MISS MARIA ALICIA BARRERA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA/RST/ESTHETICIAN
Contact information
Practice address
1114 IONE DRIVE, BENTON CITY, WA 99320
(509) 305-6943
Mailing address
1114 IONE DR, 1114 IONE DRIVE, BENTON CITY, WA 99320-4523
(509) 305-6943
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
ST00002766
WA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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