Johnny Ray Ibarra

NPI #1104315985 in Roswell, New Mexico

Provider Information

NPI Number: 1104315985
Entity Type: Individual
Name: Johnny Ray Ibarra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 7, 2018
Last Updated: May 7, 2018

Practice Location

Address: 110 E MESCALERO RD
City: Roswell
State: New Mexico
ZIP Code: 88201-6542
Phone: (575) 755-2272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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