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Individual

ALIXSEL A TAPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
715 KEARNEY AVE # 4900, MODESTO, CA 95350-9904
(808) 354-4848
Mailing address
715 KEARNEY AVE # 4900, MODESTO, CA 95350-9904
(808) 354-4848

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
106012
CA

Other

Enumeration date
03/17/2018
Last updated
12/10/2025
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