Individual
ALICIA DAISY IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 290-8208
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 290-8208
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
10/25/2023
Last updated
11/07/2024
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