Individual
JOSE MARIA IRIARTE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 ROGERS AVE, FORTSMITH, AR 72903
(479) 314-6000
Mailing address
24648 BIG COUNTRY DRIVE, MENIFEE, CA 92584
(951) 813-0958
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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