Individual
ALEXANDER AUGUSTO CASAVILCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14119 BUCHER AVE, SYLMAR, CA 91342-1442
(818) 290-5307
Mailing address
14119 BUCHER AVE, SYLMAR, CA 91342-1442
(818) 290-5307
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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