Individual
DEXTER ALEJANDRO DE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(661) 621-5679
Mailing address
23890 TOSCANA DR, VALENCIA, CA 91354-3015
(661) 621-5679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95115152
CA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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