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Individual

ALYSIA ISRAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
Mailing address
8140 SUNLAND BLVD, SUN VALLEY, CA 91352-3948
(818) 582-8832

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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