MISS Raquel H Ibarra
NPI #1538649447 in Venice, California
Provider Information
- NPI Number
- 1538649447
- Entity Type
- Individual
- Name
- MISS Raquel H Ibarra
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Aug 20, 2018
- Last Updated
- Aug 20, 2018
Practice Location
- Address
- 204 HAMPTON DRIVE
- City
- Venice
- State
- California
- ZIP Code
- 90291
- Phone
- (310) 396-6468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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