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Individual

ALEXIS WILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6244 EL CAJON BLVD STE 14, SAN DIEGO, CA 92115-3918
(619) 640-3266
Mailing address
8755 AERO DR STE 230, SAN DIEGO, CA 92123-1750
(858) 256-2180

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98418
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/01/2019
Last updated
03/19/2021
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