Individual
CARLOS IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 702-3505
(530) 666-8633
Mailing address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 702-3505
(530) 666-8633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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