Individual
ALEXANDRA MARIE LIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 5TH ST, MODESTO, CA 95351-3316
(209) 341-0718
Mailing address
605 5TH ST, MODESTO, CA 95351-3316
(209) 341-0718
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/24/2019
Last updated
10/07/2021
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