Individual
ALEXIS SOLAINA ROSALIE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10545 COLERAIN RD, SAINT MARYS, GA 31558-3720
(912) 266-8686
Mailing address
14200 DUVAL RD APT 738, JACKSONVILLE, FL 32218-0210
(360) 850-7366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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