Individual
ALEXIA ISABELLA MIRANDA LACAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 MISSION ST STE 101, SAN FRANCISCO, CA 94110-4581
(415) 642-4400
Mailing address
3101 MISSION ST STE 101, SAN FRANCISCO, CA 94110-4581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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