Individual
ALYSSA CAROLYN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
970 CALLE AMANECER STE A, SAN CLEMENTE, CA 92673-6250
(949) 648-3731
Mailing address
15 BREEZY MDWS, RANCHO SANTA MARGARITA, CA 92688-8521
(949) 300-0423
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5287
CA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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