Individual
ALEXIS BATES GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 E PALMDALE BLVD STE G, PALMDALE, CA 93550-4881
(661) 947-1595
Mailing address
2215 W AVENUE N12, PALMDALE, CA 93551-2333
(661) 272-3768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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