Individual
MS. ALEXANDRA NICHOLE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1382 STANFORD PL, HANFORD, CA 93230-2541
(559) 796-8359
Mailing address
222 KEITH ST, HANFORD, CA 93230-2910
(559) 796-8359
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
CA
Enumeration date
01/12/2022
Last updated
01/12/2022
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