Individual
AYRTON T IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17615 SE 272ND ST STE 104, COVINGTON, WA 98042-4957
(206) 612-1889
Mailing address
223 K ST SE, AUBURN, WA 98002-5742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60817446
WA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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