Individual
ALEXANDER WREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 SAN BENITO ST, HOLLISTER, CA 95023-4899
(831) 636-2121
Mailing address
PO BOX 1269, HOLLISTER, CA 95024-1269
(831) 636-2121
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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