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NPI Code Detail

MEDICARE: MARA YAHAIRA IBARRA

MEDICARE: MARA YAHAIRA IBARRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator373HCA

General Provider Information

NPI Number : 1639940190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARA YAHAIRA IBARRA
Provider Business Mailing Address
First Line : 209 E 7TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3780
Country : US
Telephone Number : 559-673-3508
Fax Number :
Provider Business Practice Location Address
First Line : 209 E 7TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3780
Country : US
Telephone Number : 559-673-3508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2024
Last Update Date : 03/19/2026

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Directions to “ MARA YAHAIRA IBARRA ” Practice Location

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