Individual
ALYSSA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4409 BELCREST WAY, SACRAMENTO, CA 95821-3343
(916) 482-1482
Mailing address
4409 BELCREST WAY, SACRAMENTO, CA 95821-3343
(916) 482-1482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/22/2013
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