Individual
ROSA LINDA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,RD,LD
Contact information
Practice address
131 FM 3168, RAYMONDVILLE, TX 78580-3605
(956) 689-2196
Mailing address
805 N CAGE BLVD STE I-J, PHARR, TX 78577-3102
(956) 787-6600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT80097
LICENSE
TX
Enumeration date
03/25/2006
Last updated
06/26/2020
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