Individual
ALEJANDRA MARIA DICARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1140 W LA VETA AVE STE 700, ORANGE, CA 92868-4229
(714) 547-5404
(714) 547-0935
Mailing address
825 S 1ST ST, JESUP, GA 31545-0209
(912) 427-7400
(912) 385-2953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007847
GA
363A00000X
Physician Assistant
21258
CA
363AM0700X
Medical Physician Assistant
Primary
PA21258
CA
Other
Enumeration date
11/22/2010
Last updated
06/10/2020
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