Individual
ALISSA PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15631 CHOCTAW ST, VICTORVILLE, CA 92395-5530
(760) 881-0595
Mailing address
15631 CHOCTAW ST, VICTORVILLE, CA 92395-5530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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