Individual
ALEXIS JORDAN BRINGOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
4125 CARLSON CT, SHINGLE SPRINGS, CA 95682-8742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30720
CA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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