Individual
JILL IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 MCCALL ST, WAUKESHA, WI 53186-5526
(262) 719-5785
Mailing address
305 MCCALL ST, WAUKESHA, WI 53186-5526
(262) 719-5785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158636-30
WI
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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