MADISON ANNELISE IBARRA

STOCKTON, CA
NPI1003594029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-07-10
Last Update Date2023-12-23
Business Address
MADISON ANNELISE IBARRA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
Mailing Address
MADISON ANNELISE IBARRA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0103
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