Individual
ALEJANDRA BEDOLLADIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20115 DEL ORO RD, APPLE VALLEY, CA 92308-7587
(909) 557-3870
Mailing address
20115 DEL ORO RD, APPLE VALLEY, CA 92308-7587
(909) 557-3870
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
079773154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4770656
CALIFORNIA D/L
CA
Enumeration date
06/11/2020
Last updated
06/11/2020
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