Individual
NORA IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCM-P
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(786) 547-0564
Mailing address
19441 HOLIDAY RD, CUTLER BAY, FL 33157-8892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM-P100413
FL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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