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
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