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Individual

ALEXANDRA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 SCENIC DR BLDG B, MODESTO, CA 95350-6131
(209) 247-8772
Mailing address
500 9TH ST STE D, MODESTO, CA 95354-3438

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CA
175T00000X
Peer Specialist
Primary
MPSS-UBKDVZ
CA

Other

Enumeration date
12/16/2024
Last updated
04/22/2025
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