Individual
ANDREA ALEXAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3057 PRUETT DR, ROSEVILLE, CA 95747-4449
(917) 995-3463
Mailing address
3057 PRUETT DR, ROSEVILLE, CA 95747-4449
(917) 995-3463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95025518
CA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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