Individual
RAMON DANIEL IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1253 MAKALAPA ROAD, HICKAM, HI 96853
(808) 473-1880
Mailing address
91-1032 OPUKU ST, KAPOLEI, HI 96707-2772
(619) 507-7677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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