Individual
MRS. CRISTINA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19314 JESSE LN STE 100, RIVERSIDE, CA 92508-5070
(951) 782-3045
(951) 776-4513
Mailing address
12980 FREDERICK ST STE J, MORENO VALLEY, CA 92553-5263
(951) 924-9300
(951) 485-0204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95001772
CA
Other
Enumeration date
12/19/2014
Last updated
12/10/2015
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