Individual
ALEXANDRA NOELLE BANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(858) 694-3900
Mailing address
4268 MORAGA AVE, SAN DIEGO, CA 92117-4520
(775) 843-3006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95226880
CA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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