MARINA ROCIO IBARRA LAVIGNE

GRAND RAPIDS, MI
NPI1184388092
Former NameMARINA ROCIO IBARRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011471)
Enumeration Date2021-10-26
Last Update Date2023-01-30
Business Address
MARINA ROCIO IBARRA LAVIGNE PA
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-6220
Mailing Address
MARINA ROCIO IBARRA LAVIGNE PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: