Individual
ALEXIS LIA MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
957 YORKSHIRE LN, SAN JACINTO, CA 92583-6524
(951) 392-7322
Mailing address
957 YORKSHIRE LN, SAN JACINTO, CA 92583-6524
(951) 392-7322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95181380
CA
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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