Individual
MS. GUILLERMINA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
RR 6 BOX 100-15, MISSION, TX 78574-9518
(956) 584-9802
Mailing address
RR 6 BOX 100-15, MISSION, TX 78574-9518
(956) 584-9802
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07240
TX
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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