Most Relevant Information
Provider Data
| NPI Number: | 1003591686 |
| Provider Name: | ALEXANDRA GURNEAL |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2023 |
| Last Updated: | 08/10/2023 |
Provider Practice Location
222 E MAIN ST STE 117
BARSTOW
CA
923112365
Practice Location Phone/Fax
| Phone: | 7602551496 |
| Fax: |
Provider Mailing Location
15123 CACTUS HOLLOW CT
VICTORVILLE
CA
923945546
Provider Mailing Phone/Fax
| Phone: | 7609005560 |
| Fax: |