MARCO ANTONIO IBARRA MEDINA

RIVERSIDE, CA
NPI1093547689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-14
Last Update Date2024-08-18
Business Address
MARCO ANTONIO IBARRA MEDINA
4440 UNIVERSITY AVE
RIVERSIDE, CA 92501-3199
Phone number: 951-683-6596
Mailing Address
MARCO ANTONIO IBARRA MEDINA
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596