MR. Ibarra Gambota Diangkinay, NURSE PRACTITIONER

NPI #1154785673 in Hemet, California

Provider Information

NPI Number
1154785673
Entity Type
Individual
Name
MR. Ibarra Gambota Diangkinay, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Credential
NURSE PRACTITIONER
Enumeration Date
Apr 11, 2016
Last Updated
Apr 11, 2016

Practice Location

Address
850 E LATHAM AVE STE 201
City
Hemet
ZIP Code
92543-4391
Phone
(951) 925-6657

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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