Individual
MISS ALEJANDRA TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N PERRIS BLVD, PERRIS, CA 92571-2811
(951) 436-5300
Mailing address
555 N PERRIS BLVD, PERRIS, CA 92571-2811
(951) 436-5300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC16498
CA
Other
Enumeration date
06/10/2024
Last updated
12/12/2024
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