Individual
ALEXANDREA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2527 KELLY ST, APT. 6, HAYWARD, CA 94541-3348
(415) 827-2051
Mailing address
2531 W BROOKHART WAY, PHOENIX, AZ 85085-3724
(415) 827-2051
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
054045650
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
D11441847
AZ
Other
Enumeration date
12/18/2015
Last updated
05/21/2021
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