Individual
MS. ALEXIS CANIZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15480 RAMONA AVE, VICTORVILLE, CA 92392-2421
(760) 243-8165
(760) 245-3676
Mailing address
15480 RAMONA AVE, VICTORVILLE, CA 92392-2421
(760) 243-8165
(760) 245-3676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/21/2019
Last updated
10/31/2019
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