Individual
ALEJANDRA JAIMEZ CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 ARNOLD RD FL 100, DUBLIN, CA 94568-7726
(925) 833-7789
(209) 572-1461
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
(209) 572-2589
(209) 572-1461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-67946
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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