ALICIA LYNNE IBANEZ

CHARLOTTE, NC
NPI1124364070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  0010-03995)
Enumeration Date2012-12-21
Last Update Date2015-07-20
Business Address
-- ALICIA LYNNE IBANEZ P.A.
2131 AYRSLEY TOWN BLVD SUITE 400
CHARLOTTE, NC 28273-3595
Phone number: 980-297-7733
Mailing Address
-- ALICIA LYNNE IBANEZ P.A.
120 CHANDELEUR DR
MOORESVILLE, NC 28117-5954
Phone number: 508-335-6122
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