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Individual

ALYSIANA ILEENE GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1024
(916) 452-3981
(916) 456-4636
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1024
(916) 452-3981
(916) 456-4636

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/11/2024
Last updated
02/06/2025
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