Individual
ALYSSA DEFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310
Mailing address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 474-7310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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