Individual
ALEXANDRA JACKELYN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 EXECUTIVE DR, SAN DIEGO, CA 92121-3021
(858) 534-8019
Mailing address
4510 EXECUTIVE DR STE 315, SAN DIEGO, CA 92121-3029
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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