Individual
ALEXANDRA AGREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 PENNBROOK PKWY, LANSDALE, PA 19446-3818
(215) 361-6130
Mailing address
27 NORTH LN, NORTH WALES, PA 19454-2605
(305) 502-7288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011547
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC011547
LICENSE NUMBER
PA
Enumeration date
04/13/2020
Last updated
04/13/2020
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