Individual
ALEXANDRA TREVISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11915 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5815
(310) 572-1515
Mailing address
11915 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5815
(310) 572-1515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34429
CA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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