Individual
ALEXIS JULIA BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 W 237TH ST, TORRANCE, CA 90501-5904
(321) 698-5960
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2023
Last updated
01/15/2025
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