KATHLAINE CIRIACO IBANEZ

SAN DIEGO, CA
NPI1992457907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  699250)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
KATHLAINE CIRIACO IBANEZ
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-615-0439
Mailing Address
KATHLAINE CIRIACO IBANEZ
600 B ST # 1520
SAN DIEGO, CA 92101-4501
Phone number: 619-615-0439