Most Relevant Information
Provider Data
| NPI Number: | 1003639006 |
| Provider Name: | IAN CEDRICK UBARRO NECESITO |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 73556 |
Most Important Dates
| Enumeration Date: | 11/07/2024 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
870 N DIAMOND BAR BLVD
DIAMOND BAR
CA
917651039
Practice Location Phone/Fax
| Phone: | 9099933132 |
| Fax: |
Provider Mailing Location
1261 N SYCAMORE AVE
RIALTO
CA
923763628
Provider Mailing Phone/Fax
| Phone: | 9099933132 |
| Fax: |