Individual
IAN CEDRICK UBARRO NECESITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
870 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1039
(909) 993-3132
Mailing address
1261 N SYCAMORE AVE, RIALTO, CA 92376-3628
(909) 993-3132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73556
CA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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