Individual
MS. ALEXIS MAE DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1135 S SUNSET AVE STE 401, WEST COVINA, CA 91790-3921
(626) 732-8396
(626) 732-8396
Mailing address
4061 RICHWOOD AVE, EL MONTE, CA 91732-2235
(626) 203-5035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95101945
CA
363L00000X
Nurse Practitioner
Primary
95032234
CA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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