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Omar Ibarra
Student in an Organized Health Care Education/Training Program in Ukiah, California
NPI 1548025570

Omar Ibarra is a Student in an Organized Health Care Education/Training Program based in Ukiah, CA. Omar Ibarra practices in Ukiah, CA. The NPI Number for Omar Ibarra is 1548025570 and holds a License No. (California).

The current practice location address for Omar Ibarra is 333 Laws Ave, Ukiah, CA and can be reached out via phone at 707-468-1010.

Location: 333 Laws Ave, Ukiah, CA, 95482-6540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548025570
Provider Name
Omar Ibarra
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 Laws Ave, Ukiah, CA, 95482-6540
Phone Number
707-468-1010
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
333 Laws Ave
City
Ukiah
State
California
Zip
95482-6540
Phone Number
707-468-1010
Fax Number
person
Provider Business Mailing Address Details
Address
333 Laws Ave
City
Ukiah
State
California
Zip
95482-6540
Phone Number
707-468-1010
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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