Individual
ALEX ACE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14514 SAN ESTEBAN DR, LA MIRADA, CA 90638-4333
(714) 388-8029
Mailing address
14514 SAN ESTEBAN DR, LA MIRADA, CA 90638-4333
(714) 388-8029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95305781
CA
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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