Individual
CARMEN ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E TRAVIS BLVD, FAIRFIELD, CA 94533-3958
(707) 450-8251
Mailing address
2090 COMMERCE AVE, CONCORD, CA 94520-4902
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
1336657642
CA
Other
Enumeration date
01/21/2018
Last updated
11/04/2025
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