Individual
ALEXIS MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 BILLINGS BLVD, SAN LEANDRO, CA 94577-1322
(510) 200-2719
Mailing address
1128 BILLINGS BLVD, SAN LEANDRO, CA 94577-1322
(510) 200-2719
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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