Individual
ALEXIS JOVANNI SAUCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3675
(408) 842-7138
Mailing address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3675
(408) 842-7138
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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