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Individual

ALYSSA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
PO BOX 509015, SAN DIEGO, CA 92150-9015
(800) 406-4558
(706) 653-1162

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002408
CA

Other

Enumeration date
07/28/2023
Last updated
04/28/2025
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