Individual
ALEXANDRIA DAVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11519 CARLISLE PL, RANCHO CUCAMONGA, CA 91730-7233
(909) 972-0992
Mailing address
11519 CARLISLE PL, RANCHO CUCAMONGA, CA 91730-7233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
02/21/2024
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