Individual
ALEXIS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062
(650) 930-7491
Mailing address
34077 PASEO PADRE PKWY APT 148, FREMONT, CA 94555-2375
(510) 926-9771
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-SEOKLB
CA
Other
Enumeration date
08/06/2025
Last updated
10/30/2025
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