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Alex Misael Prado

Adult Companion in Modesto, CA. Individual provider (NPI-1).

NPI number1093678377
StatusActive
Last updated in NPPESDec 4, 2025

Details

NPI
1093678377
Entity type
Individual (NPI-1)
Name
Mr. Alex Misael Prado
Sex
Male
Sole proprietor
No
Enumeration date
Dec 4, 2025
Certification date
Dec 4, 2025
Last updated
Dec 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion–CAYes

Practice location

800 Scenic Dr
800 Scenic Dr
Modesto, CA 95350-6131

Phone 209-380-4392

Mailing address

800 Scenic Dr
800 Scenic Dr
Modesto, CA 95350-6131

Phone 209-380-4392

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