Individual
MR. IBARRA CAYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117-4108
(415) 554-1450
Mailing address
815 BUENA VISTA WEST, SAN FRANCISCO, CA 94117
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
242941
CA
164X00000X
Licensed Vocational Nurse
Primary
VN242941
CA
Other
Enumeration date
04/24/2012
Last updated
06/22/2023
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