Individual
ALYSSA LEE JETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 BONITA AVE, BERKELEY, CA 94709-1909
(510) 526-4765
(510) 526-2887
Mailing address
450 RIDGEWOOD DR, MARTINEZ, CA 94553-4131
(970) 773-3032
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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