Individual
ALEXANDER DUARTE-BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1344 S. ACADEMY AVE., KINGSBURG, CA 93631
(559) 556-0030
Mailing address
218 N PALM ST, WOODLAKE, CA 93286-1425
(559) 798-7907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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