Individual
ALYSSA SILVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 N H ST, LOMPOC, CA 93436-3368
(805) 322-8014
Mailing address
47 PALM DR, LOMPOC, CA 93436-3422
(805) 291-0345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
OUT PATIENT DRUG TREATMENT
CA
Enumeration date
03/18/2015
Last updated
03/18/2015
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