Individual
ALEX MICHELLE SIEMENSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4173 36TH ST APT 7, SAN DIEGO, CA 92104-2324
(562) 445-9162
Mailing address
4173 36TH ST APT 7, SAN DIEGO, CA 92104-2324
(562) 445-9162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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