Individual
BREANNA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
830 SE IRELAND ST, OAK HARBOR, WA 98277-5502
(360) 679-7676
(360) 682-5947
Mailing address
830 SE IRELAND ST, OAK HARBOR, WA 98277-5502
(360) 679-7676
(360) 682-5947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61094516
WA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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