Vivian Karina Ibanez
Vivian Karina Ibanez is a Specialist in East Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.
- Licensed in
- MA
- In the registry since
- 2015
Practice location Address checks out
130 Condor StEast Boston, MA 02128
Phone: (617) 569-6560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 042317215 (MA) |
|---|
Record details
| NPI number | 1174907588 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2015 |
| Last updated in NPPES | July 15, 2015 |
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Margerie Serrano
130 Condor St, East Boston, MA 02128-1305 · (617) 569-6560