Individual
ALESSANDRA D'AVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
637 MERCED ST, NEWMAN, CA 95360-1070
(209) 862-0270
(209) 862-0274
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 384-3966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91501
CA LICENSE
CA
Enumeration date
08/10/2007
Last updated
12/15/2021
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