Individual
ALEXIS KAYE MAYNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
2284 E MAPLE AVE, EL SEGUNDO, CA 90245-6507
(310) 414-9761
Mailing address
129 ROSECRANS AVE APT B, MANHATTAN BEACH, CA 90266-3498
(575) 430-8253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95246151
CA
363LF0000X
Family Nurse Practitioner
Primary
95028139
CA
Other
Enumeration date
10/10/2022
Last updated
12/15/2023
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