Individual
ALEXANDRIA HOLMAN BENTANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 37TH AVE, 3RD FLOOR, SAN MATEO, CA 94403-4324
(650) 839-1810
Mailing address
127 11TH ST UNIT A, SANTA ROSA, CA 95401-4717
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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