Individual
ALEJANDRA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
863 PELICAN LN, MELBOURNE, FL 32935-6952
(407) 797-9008
Mailing address
863 PELICAN LN, MELBOURNE, FL 32935-6952
(407) 797-9008
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
13891
FL
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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