Individual
ALYSSA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(000) 000-0000
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
810627
NV
Other
Enumeration date
01/05/2023
Last updated
11/15/2024
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