Individual
BROOKE ROSE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(909) 696-5094
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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