Provider Demographics
NPI:1881046936
Name:SIRIBAN, ALEJANDRINA NER (ST)
Entity type:Individual
Prefix:
First Name:ALEJANDRINA
Middle Name:NER
Last Name:SIRIBAN
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:ALEJANDRINA
Other - Middle Name:
Other - Last Name:NER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3860 YELLOWSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3860 YELLOWSTONE CIR
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5623
Practice Address - Country:US
Practice Address - Phone:909-573-2522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist