IBARRA GAMBOTA DIANGKINAY

HEMET, CA
NPI1154785673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: CA  95004040)
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
MR. IBARRA GAMBOTA DIANGKINAY NURSE PRACTITIONER
850 E LATHAM AVE STE 201
HEMET, CA 92543-4391
Phone number: 951-925-6657
Mailing Address
MR. IBARRA GAMBOTA DIANGKINAY NURSE PRACTITIONER
850 E LATHAM AVE STE 201
HEMET, CA 92543-4391
Phone number: 951-925-6657