MISS Mariela Hermosillo Macias, LMP

NPI #1902043904 in Prosser, Washington

Provider Information

NPI Number: 1902043904
Entity Type: Individual
Name: MISS Mariela Hermosillo Macias, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jan 13, 2009
Last Updated: Jan 13, 2009

Practice Location

Address: 1209 MEADE AVE
City: Prosser
State: Washington
ZIP Code: 99350-1423
Phone: (509) 786-3637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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