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Individual

NICOLE IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3337 E CAMBRIDGE AVE, PHOENIX, AZ 85008-1215
(425) 750-2080
(480) 257-7992
Mailing address
3104 E CAMELBACK RD # 291, PHOENIX, AZ 85016-4502
(425) 750-2080
(480) 257-7992

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/07/2023
Last updated
03/06/2026
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