Individual
MARIO NOE YBARBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 ELLINGTON RD, RIVERSIDE, OH 45431-1937
(937) 245-9151
Mailing address
114 ELLINGTON RD, RIVERSIDE, OH 45431-1937
(937) 245-9151
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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