Individual
ALICIA ALEXANDRIA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 17TH AVE, SAN FRANCISCO, CA 94122-3403
(925) 238-5476
Mailing address
1480 17TH AVE, SAN FRANCISCO, CA 94122-3403
(925) 238-5476
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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