Individual
LESLIE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2023 PULASKI HWY, HAVRE DE GRACE, MD 21078-2137
(410) 942-9474
Mailing address
531 HALL CT, HAVRE DE GRACE, MD 21078-4261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA3120
MD
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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