Individual
ALEXANDER URZUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3120 W MARCH LN, STOCKTON, CA 95219-8235
(833) 227-3454
Mailing address
12965 S MANTHEY RD, LATHROP, CA 95330-9734
(925) 565-8241
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
102719
CA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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