Individual
KIMBERLY IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
1901 HARDER RD # UV352, HAYWARD, CA 94542-1691
(310) 462-1700
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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