Individual
ALYSSA RAEANNE ARAGON-VILLALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 350-0740
Mailing address
3525 GODFREY AVE, GILROY, CA 95020-8064
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XDJ96676876E
—
CA
Enumeration date
02/23/2017
Last updated
02/23/2017
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