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NPI 1356896773 · live from the CMS NPI Registry

Josefina Ibarra, R.D., L.D.

Dietitian, Registered in Rock Springs, WY. National Provider Identifier 1356896773, active.

NPI record

NPI1356896773 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location1200 College Dr, Rock Springs, WY 82901
Practice phone307-212-7781
EnumeratedAugust 16, 2016
Last updatedAugust 16, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X088 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.