Individual
LETICIA MARLENE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
7475 CAMINO ARROYO, GILROY, CA 95020-7348
(408) 852-2200
(408) 852-2266
Mailing address
7475 CAMINO ARROYO, GILROY, CA 95020-7348
(408) 852-2200
(408) 852-2266
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-302285
CA
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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