Individual
ALISA VICKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1355 EAST ST STE 200, REDDING, CA 96001-0801
(530) 605-4260
(707) 826-8638
Mailing address
1355 EAST ST STE 200, REDDING, CA 96001-0801
(530) 605-4260
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
103678
AK
363A00000X
Physician Assistant
Primary
56745
CA
Other
Enumeration date
10/23/2015
Last updated
02/18/2025
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