Individual
DOMINIC ALEJANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1442 SEXTANT WAY, MANTECA, CA 95337-6714
(209) 923-0482
Mailing address
1442 SEXTANT WAY, MANTECA, CA 95337-6714
(209) 923-0482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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