Danilo Ibarra, LMT

NPI #1366693111 in Wilton Manors, Florida

Provider Information

NPI Number: 1366693111
Entity Type: Individual
Name: Danilo Ibarra, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Oct 9, 2008
Last Updated: Oct 9, 2008

Practice Location

Address: 1650 NE 26TH ST
Address 2: SUITE 101
City: Wilton Manors
State: Florida
ZIP Code: 33305-1431
Phone: (954) 564-6573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Specialist	174400000X	Primary

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