Individual
ALEXA BIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 382-7100
Mailing address
250 S G ST, SAN BERNARDINO, CA 92410-3320
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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