Individual
JAREN ANDREI IBALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2435 E PLAZA BLVD, NATIONAL CITY, CA 91950-5101
(619) 434-9800
Mailing address
2435 E PLAZA BLVD, NATIONAL CITY, CA 91950-5101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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