Individual
ALYSSA PETTINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCLS
Contact information
Practice address
4412 BOUNDARY ST, SAN DIEGO, CA 92116-4301
(916) 402-3384
Mailing address
4412 BOUNDARY ST, SAN DIEGO, CA 92116-4301
(916) 402-3384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30998
CA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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