JOSE IBARRA

SYLMAR, CA
NPI1538585054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2014-03-07
Last Update Date2014-03-07
Business Address
JOSE IBARRA
14256 DYER ST
SYLMAR, CA 91342-4133
Phone number: 818-288-6705
Mailing Address
JOSE IBARRA
14256 DYER ST
SYLMAR, CA 91342-4133
Phone number: 818-288-6705
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