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Individual

ALEJANDRA IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1555 S GAREY AVE, POMONA, CA 91766-5222
(909) 620-8088
Mailing address
13214 KOCHI DR, MORENO VALLEY, CA 92553-5970
(760) 524-6525

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95034443
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95034443
BOARD OF REGISTERED NURSING
CA
Enumeration date
10/25/2014
Last updated
10/25/2014
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