Individual
JAIRO IBARRA-LEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(818) 610-6752
Mailing address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(818) 610-6752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW72162
CA
Other
Enumeration date
09/01/2016
Last updated
07/27/2018
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