Individual
ALEXIS CHARRISSMA PICCOLO-LAMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 E MURPHYS LN, MILLCREEK, UT 84106-2992
(909) 699-5095
Mailing address
1421 E MURPHYS LN, MILLCREEK, UT 84106-2992
(909) 699-5095
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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