VIVIAN KARINA IBANEZ NPI 1174907588

NPI Information

Vivian Karina Ibanez is a specialist in East Boston, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Vivian Karina Ibanez NPI is 1174907588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 CONDOR STREET
EAST BOSTON, MA
ZIP 02128
Phone: (617) 569-6560

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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