Individual
ALICIA A AFRAH-BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(319) 631-8652
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 800-4179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA191431
OR
363A00000X
Physician Assistant
Primary
PA59844
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2016
Last updated
03/24/2026
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