Individual
ALEXANDRA RENEE LECLERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ALDRIN RD, PLYMOUTH, MA 02360-4827
(508) 830-0000
Mailing address
50 ALDRIN RD, PLYMOUTH, MA 02360-4827
(781) 686-5401
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXP960618147
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/10/2019
Last updated
08/20/2020
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