Individual
ALEXIS MEGAN AXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CIVIC CENTER DR STE 100, SAN RAFAEL, CA 94903-4151
(628) 877-0040
Mailing address
8248 BISHOP ST, VENTURA, CA 93004-1659
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6591
CA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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