Individual
ALYSSIA JOAN SUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
530 CONNIE ST, LODI, CA 95240-3902
(732) 259-0955
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236331
CA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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