Ashton Ibarra, RD, LD

NPI #1396173209 in Independence, Missouri

Provider Information

NPI Number: 1396173209
Entity Type: Individual
Name: Ashton Ibarra, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Oct 31, 2013
Last Updated: Oct 31, 2013

Practice Location

Address: 1525 E 23RD ST S
City: Independence
State: Missouri
ZIP Code: 64055-1670
Phone: (816) 836-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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