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Individual

JESSIKAH IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2743 ORANGE ST, RIVERSIDE, CA 92501-2538
(951) 788-9515
Mailing address
11990 SPARTAN LN, FONTANA, CA 92337-9070
(909) 489-3320

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685108
CA

Other

Enumeration date
08/24/2019
Last updated
08/31/2019
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