Individual
MARGARET MARY IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6221 NE FOURTH PLAIN BLVD APT 130, VANCOUVER, WA 98661-7210
(360) 773-2765
Mailing address
6811 NE 121ST AVE APT LL318, VANCOUVER, WA 98682-5587
(360) 773-2765
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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