Individual
MANUEL YBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-7722
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G81484
CA
208600000X
Surgery Physician
Primary
MD60413221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035655
—
WA
05
—
269048900
—
FL
Enumeration date
10/07/2005
Last updated
02/10/2015
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