Most Relevant Information
Provider Data
| NPI Number: | 1003447434 |
| Provider Name: | IGNACIO A UBILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2020 |
| Last Updated: | 02/04/2020 |
Provider Practice Location
606 MIAMI ST APT A
NORTH MANCHESTER
IN
469621281
Practice Location Phone/Fax
| Phone: | 3176250723 |
| Fax: |
Provider Mailing Location
606 MIAMI ST APT A
NORTH MANCHESTER
IN
469621281
Provider Mailing Phone/Fax
| Phone: | 3176250723 |
| Fax: |