Individual
ALYSSA MARIE DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4902 IRVINE CENTER DR STE 105, IRVINE, CA 92604-3334
(949) 649-0503
Mailing address
172 FIXIE, IRVINE, CA 92618-1033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95123122
CA
363LF0000X
Family Nurse Practitioner
Primary
95030365
CA
Other
Enumeration date
01/12/2024
Last updated
07/01/2024
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