Individual
DIANA IBARRA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 TELEGRAPH AVE, BERKELEY, CA 94705-2031
(415) 404-3168
Mailing address
2920 TELEGRAPH AVE, BERKELEY, CA 94705-2031
(415) 404-3168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95055572
CA
363LF0000X
Family Nurse Practitioner
Primary
95032713
CA
Other
Enumeration date
01/11/2024
Last updated
03/08/2025
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