Individual
MR. EDUARDO ULTIMINIO IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
135 HIGHPOINT CIR, PLATTEVILLE, WI 53818-1321
(608) 348-5004
Mailing address
135 HIGHPOINT CIR, PLATTEVILLE, WI 53818-1321
(608) 348-5004
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39918600
—
WI
Enumeration date
05/18/2006
Last updated
07/09/2007
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