Individual
ALEXANDRA BURNETT ILSTAD MINNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
1210 SW 11TH AVE APT E302, GAINESVILLE, FL 32601-8237
(925) 788-8582
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
03/09/2023
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