Individual
ALEXA CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13891 NEWPORT AVE STE 285, TUSTIN, CA 92780-7840
(714) 770-8222
Mailing address
6 SHELTON CT, LADERA RANCH, CA 92694-0743
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
303136
CA
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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