Individual
ALEXANDRA SEQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSC
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4036
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
14876
ND
390200000X
Student in an Organized Health Care Education/Training Program
NO LICENSE
CT
Other
Enumeration date
07/16/2013
Last updated
09/24/2018
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