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Individual

ALEXANDER ROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2080 N TUSTIN AVE STE B, SANTA ANA, CA 92705-7875
(855) 581-0100
Mailing address
2080 N TUSTIN AVE STE B, SANTA ANA, CA 92705-7875

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/22/2023
Last updated
12/22/2023
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