Individual
ALEXANDRA MOATS MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 HAWTHORNE AVE STE 201, OAKLAND, CA 94609-3114
(510) 452-1345
(510) 452-1102
Mailing address
2855 MITCHELL DR #223, WALNUT CREEK, CA 94598-1609
(510) 452-1345
(510) 452-1102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15000
PA LICENSE NUMBER
CA
Enumeration date
09/20/2006
Last updated
07/01/2010
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