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Individual

FRANCISCO IBARRA SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADTP1694

Contact information

Practice address
1025 E OCEAN AVE, LOMPOC, CA 93436-7088
(180) 563-1671
Mailing address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADTP1694
CA
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316192149
TELECARE SANTA MARIA ACT
Enumeration date
02/15/2007
Last updated
08/01/2023
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