Individual
ALEXIS AMBROSIA SCUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 W SHAW AVE STE 201, FRESNO, CA 93711-3519
(559) 271-3096
Mailing address
4667 N LORNA AVE, FRESNO, CA 93705-1128
(559) 981-4632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
06/20/2023
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