Individual
JOSEFINA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 212-7781
Mailing address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
088
WY
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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