Provider Information for 1780082677
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BEATRIZ ALEJANDRE
Sex: Female
Certification Date: 2024-10-15
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780082677 | ||||||||||||
| Enumeration Date | 2014-12-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 382 S SISKIYOU AVE KERMAN, CA 93630-9379 United States Phone: 559-259-4715 | Fax: | ||||||||||||
| Primary Practice Address | 382 S SISKIYOU AVE KERMAN, CA 93630 United States Phone: 559-259-4715 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 40 E MINARETS AVE 2440 TULARE ST STE 200 2280 N VALENTINE AVE 2560 W SHAW LN STE 104 4939 E YALE AVE 121 BELMONT AVE | ||||||||||||
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