Individual
ALYSSA GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 OAKDALE ST, FOLSOM, CA 95630-2451
(916) 790-8719
Mailing address
555 OAKDALE ST STE F, FOLSOM, CA 95630-2451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
32072
CA
Other
Enumeration date
03/01/2018
Last updated
10/04/2022
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