Individual
ALEXANDRA NICOLE CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SPECIAL OPERATIONS MEDICAL GROUP AT113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(707) 423-3000
Mailing address
1 SPECIAL OPERATIONS MEDICAL GROUP 113 LIELMANIS AVE, HURLBURT FIELD AFB, FL 32544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025375
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
08/26/2019
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