Individual
LOIMA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 SW 20TH TER, 13, MIAMI, FL 33175-7366
(305) 965-1630
Mailing address
12200 SW 20TH TER, 13, MIAMI, FL 33175-7366
(305) 965-1630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66803
FL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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