Most Relevant Information
Provider Data
| NPI Number: | 1003594326 |
| Provider Name: | MIGUEL ANGEL IBARRA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2023 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
2100 STANTONSBURG RD
GREENVILLE
NC
278342818
Practice Location Phone/Fax
| Phone: | 2527444618 |
| Fax: | 2527442827 |
Provider Mailing Location
2100 STANTONSBURG RD
GREENVILLE
NC
278342818
Provider Mailing Phone/Fax
| Phone: | 2527444618 |
| Fax: | 2527442827 |