Individual
ALBA EDMALY IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
(760) 674-3440
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95072634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95072634
NURSING LICENSE
CA
Enumeration date
03/08/2019
Last updated
10/29/2021
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