ALEXANDER AUGUSTO CASAVILCA

SYLMAR, CA
NPI1720802366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-11-11
Last Update Date2024-11-11
Business Address
ALEXANDER AUGUSTO CASAVILCA
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5307
Mailing Address
ALEXANDER AUGUSTO CASAVILCA
14119 BUCHER AVE
SYLMAR, CA 91342-1442
Phone number: 818-290-5307