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Individual

DR. ALYSE MONIQUE MOUSETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8700 BEVERLY BLVD, ROOM 4209, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1682
Mailing address
8700 BEVERLY BLVD, ROOM 4209, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1682

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
120562
CA
207R00000X
Internal Medicine Physician
244473
MA

Other

Enumeration date
06/24/2010
Last updated
10/26/2021
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