Individual
ALEXANDRA MAYA MCSPADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3333 MENDOCINO AVENUE SUITE 130, KAISER PERMANENTE COSMETIC SERVICES, SANTA ROSA, CA 95403
(707) 566-5288
Mailing address
3333 MENDOCINO AVENUE SUITE 130, KAISER PERMANENTE COSMETIC SERVICES, SANTA ROSA, CA 95403
(707) 566-5288
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0840
NH
363AM0700X
Medical Physician Assistant
PA22312
CA
363AS0400X
Surgical Physician Assistant
0840
NH
363AS0400X
Surgical Physician Assistant
Primary
PA22312
CA
Other
Enumeration date
12/21/2010
Last updated
09/04/2012
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