Individual
ALYSSA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2271 ALPINE BLVD, ALPINE, CA 91901-1100
(619) 289-7322
Mailing address
1401 REED AVE UNIT 4, SAN DIEGO, CA 92109-5352
(858) 500-9315
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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