Individual
ASHLEY GISELLE IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17862 17TH ST STE 107, TUSTIN, CA 92780-2170
(714) 661-5390
Mailing address
215 LILLEAN CT, VALLEJO, CA 94589-1880
(707) 654-7421
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
02/02/2024
Last updated
03/17/2025
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