Individual
IVY BARBOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 PLEASANT ST, CONCORD, NH 03301-4006
(603) 226-7505
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
01/15/2020
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