Individual
MS. MONIQUE NICOLE YBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1550 NEBRASKA AVE, GRANTS PASS, OR 97527-5531
(541) 479-3100
Mailing address
1550 NEBRASKA AVE, GRANTS PASS, OR 97527-5531
(541) 479-3100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19407
OR
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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