Individual
ALEXANDRA BALARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 N 1000 W, PROVO, UT 84601-2552
(609) 969-8178
Mailing address
295 N 1000 W, PROVO, UT 84601-2552
(609) 969-8178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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