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Individual

MS. KIMBERLY GOOD IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6 W NEWPORT RD, LITITZ, PA 17543
(717) 627-2108
(717) 627-2434
Mailing address
6 W NEWPORT RD, LITITZ, PA 17543-9491
(717) 627-2108
(717) 627-2434

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017865
PA

Other

Enumeration date
09/01/2017
Last updated
08/08/2018
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