Individual
ALEJANDRO IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 W SHAW AVE BLDG A, FRESNO, CA 93711-3334
(559) 228-9100
Mailing address
5604 N TAMERA AVE, FRESNO, CA 93711-1529
(310) 292-9776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992866545
ASPIRE GROUP NPI
CA
Enumeration date
06/17/2019
Last updated
01/09/2023
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