Individual
ALEXA KHERSONSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-4000
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2010
Last updated
02/11/2022
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