Individual
BRANDON IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
VA PUGET SOUND HEALTH CARE SYSTEM, 1660 SOUTH COLUMBIAN WAY, SEATTLE, WA 98108
(206) 716-5708
Mailing address
105 HARVARD AVE E APT 303, SEATTLE, WA 98102-5739
(208) 681-9640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60672858
WA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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