Individual
JESSICA VICTORIA IBANEZ-ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4763
Mailing address
12623 AVENUE 416, OROSI, CA 93647-2017
(559) 528-4763
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
05/22/2025
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