Individual
DR. ALYSSA CLAIRE WAGENHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1526 N EDGEMONT ST, LOS ANGELES, CA 90027-5260
(323) 783-5197
Mailing address
700 S LAKE AVE APT 115, PASADENA, CA 91106-3938
(602) 930-8777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001651
CA
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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