Individual
ALEXANDRIA K ARCHANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W TOKAY ST STE A, LODI, CA 95240-3965
(120) 941-2238
Mailing address
8905 DAVIS RD APT I58, STOCKTON, CA 95209-1880
(209) 412-2388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
08/08/2023
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