Individual
ALYSSA CANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 OAKDALE RD, MODESTO, CA 95355-4593
(209) 558-7400
Mailing address
917 OAKDALE RD, MODESTO, CA 95355-4593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95384346
CA
163WC0400X
Case Management Registered Nurse
Primary
95384346
CA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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