Individual
AUDREY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 KUCK LN, PETALUMA, CA 94952-9606
(707) 971-7026
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
01/31/2021
Last updated
08/16/2024
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