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Individual

ALEXIS HARLEY VIERTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
1470 W HERNDON AVE STE 300, FRESNO, CA 93711-0552
(559) 256-2000
Mailing address
1470 W HERNDON AVE STE 300, FRESNO, CA 93711-0552
(559) 256-2000

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
05/14/2024
Last updated
05/27/2025
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