Individual
ALEXA CHARIS JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
844 PICO BLVD, SANTA MONICA, CA 90405-1325
(310) 314-6200
Mailing address
839 PLUMERIA ST, SAN MARCOS, CA 92069-8127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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