Individual
CRISTIAN ARMENTA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9440 CITRUS AVE, FONTANA, CA 92335-5512
(909) 823-1481
Mailing address
9440 CITRUS AVE, FONTANA, CA 92335-5512
(909) 503-3820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4168
CA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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