Individual
ALEXIS GARCIA CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26081 MOCINE AVE, HAYWARD, CA 94544-2923
(510) 881-5921
Mailing address
26081 MOCINE AVE, HAYWARD, CA 94544-2923
(510) 881-5921
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
N/A
—
Enumeration date
01/19/2022
Last updated
01/19/2022
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