Individual
RUBY JADE IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 TOLL HOUSE AVE, FREDERICK, MD 21701-4519
(301) 662-8310
Mailing address
1009 BEXHILL DR, FREDERICK, MD 21702-5192
(144) 384-2186
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R213758
MD
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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