Most Relevant Information
Provider Data
| NPI Number: | 1003464553 |
| Provider Name: | ALEXIS LISAMARI NUNEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2019 |
| Last Updated: | 08/28/2019 |
Provider Practice Location
3365 TONOPAH ST
OCEANSIDE
CA
920543865
Practice Location Phone/Fax
| Phone: | 7607575585 |
| Fax: |
Provider Mailing Location
308 SANTA INES WAY
OCEANSIDE
CA
920576857
Provider Mailing Phone/Fax
| Phone: | 7605183120 |
| Fax: |