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Mr. Ibarra Gambota Diangkinay, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Hemet, California
NPI 1154785673

Ibarra Gambota Diangkinay is an Adult Health Nurse Practitioner based in Hemet, CA and is specialized in Adult Health. Ibarra Gambota Diangkinay practices in Hemet, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Ibarra Gambota Diangkinay is 1154785673 and holds a License No. 95004040 (California).

The current practice location address for Ibarra Gambota Diangkinay is 850 E Latham Ave Ste 201, Hemet, CA and can be reached out via phone at 951-925-6657.

Location: 850 E Latham Ave Ste 201, Hemet, CA, 92543-4391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154785673
Provider Name
Ibarra Gambota Diangkinay
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
850 E Latham Ave Ste 201, Hemet, CA, 92543-4391
Phone Number
951-925-6657
Fax Number
Provider Enumeration Date
04/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
850 E Latham Ave Ste 201
City
Hemet
State
California
Zip
92543-4391
Phone Number
951-925-6657
Fax Number
person
Provider Business Mailing Address Details
Address
850 E Latham Ave Ste 201
City
Hemet
State
California
Zip
92543-4391
Phone Number
951-925-6657
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
95004040 (California)
Definition
Definition to come...
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