Individual
DR. MARYANN IVONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
1011 W MAIN ST, MONROE, WA 98272-2017
(360) 794-7199
Mailing address
1011 W MAIN ST, MONROE, WA 98272-2017
(360) 794-7199
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522
LICENSE
WA
Enumeration date
05/14/2007
Last updated
07/08/2007
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