Individual
IBANNA URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 N 70TH ST, OMAHA, NE 68104-3811
(402) 739-5017
Mailing address
2520 N 70TH ST, OMAHA, NE 68104-3811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NE
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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