Individual
ALEXIS R TAIVITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 SUNRISE VISTA DR STE 2100, CITRUS HEIGHTS, CA 95610-7068
(916) 967-6253
Mailing address
620 N AURORA ST, STOCKTON, CA 95202-2343
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
03/31/2025
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