Individual
ALEXIS S HOLVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 MONTE VISTA AVE STE 190, CLAREMONT, CA 91711-6600
(909) 865-9501
(909) 469-2119
Mailing address
1601 MONTE VISTA AVE STE 190, CLAREMONT, CA 91711-6600
(909) 865-9501
(909) 469-2119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366929887
—
CA
Enumeration date
07/26/2018
Last updated
12/30/2024
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