Individual
ALEXANDRA ALABATA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
355 LENNON LN, SUITE 295, WALNUT CREEK, CA 94598
(925) 357-9786
(925) 217-7956
Mailing address
355 LENNON LN, SUITE 295, WALNUT CREEK, CA 94598
(925) 357-9786
(925) 217-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.1466
AL
363A00000X
Physician Assistant
PA1466
AL
363AM0700X
Medical Physician Assistant
PA9106852
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007248400
—
FL
Enumeration date
08/30/2012
Last updated
11/26/2024
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