Provider Demographics
NPI:1649414665
Name:ARAGON, VIRGIE BELO (LMP)
Entity Type:Individual
Prefix:
First Name:VIRGIE
Middle Name:BELO
Last Name:ARAGON
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:WA
Mailing Address - Zip Code:98580-0251
Mailing Address - Country:US
Mailing Address - Phone:253-843-1182
Mailing Address - Fax:253-842-0382
Practice Address - Street 1:107 S. WARREN
Practice Address - Street 2:UNIT D
Practice Address - City:ROY
Practice Address - State:WA
Practice Address - Zip Code:98580
Practice Address - Country:US
Practice Address - Phone:253-843-1182
Practice Address - Fax:253-843-0382
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024389225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist