Individual
ALICIA CHERENE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-4922
Mailing address
3150 STONEGATE DR SW, ATLANTA, GA 30331-2941
(954) 203-0433
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95104198
CA
163WC0200X
Critical Care Medicine Registered Nurse
192546
GA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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