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Individual

ALEXANDRA SERPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2116 E ORANGEBURG AVE STE A, MODESTO, CA 95355-3370
(209) 577-1411
(209) 577-1236
Mailing address
1909 WOODLAND AVE, MODESTO, CA 95358-1332
(209) 606-4203

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
13-1131
CA

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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