Individual
ALEXANDRA FONTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2620 TRIBUNE AVE, HAYWARD, CA 94542-2007
(510) 862-9022
Mailing address
2620 TRIBUNE AVE, HAYWARD, CA 94542
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
95038145
CA
Other
Enumeration date
09/04/2019
Last updated
04/25/2026
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