Individual
ALEXIS LEE WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 COURT ST, SUITE 101, JACKSON, CA 95642-2153
(209) 223-6451
(209) 223-6478
Mailing address
708 COURT ST, SUITE 101, JACKSON, CA 95642-2153
(209) 223-6451
(209) 223-6478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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