Individual
JUAN G IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 HOWARD ST FL 4, SAN FRANCISCO, CA 94103-2651
(415) 255-3693
Mailing address
10 MOSS AVE APT 39, OAKLAND, CA 94610-1324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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