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NPI Code Detail

MEDICARE: JAZMIN CELESTE IBARRA

MEDICARE: JAZMIN CELESTE IBARRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1831053636
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMIN CELESTE IBARRA
Provider Business Mailing Address
First Line : 2801 MISSOURI AVE STE 22
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5062
Country : US
Telephone Number : 575-636-2550
Fax Number : 575-915-1819
Provider Business Practice Location Address
First Line : 2801 MISSOURI AVE STE 22
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5062
Country : US
Telephone Number : 575-636-2550
Fax Number : 575-915-1819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ JAZMIN CELESTE IBARRA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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