Individual
ALEXANDRIA SARAH-ELLEN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 E MAYBERRY AVE, HEMET, CA 92543-6021
(951) 465-3665
Mailing address
26751 CALLE CELIA, MENIFEE, CA 92585-9372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95437838
CA
Other
Enumeration date
06/03/2020
Last updated
12/12/2025
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