Individual
ADOLPHE LEONCE ALEXANDER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 461-6094
Mailing address
PO BOX 1471, PASO ROBLES, CA 93447-1471
(805) 835-1124
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
208356
CA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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