Individual
JESARELA ALAS-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 CAPRICORN WAY STE 207, SANTA ROSA, CA 95407-5486
(707) 565-4781
Mailing address
527 NORLEE ST, SEBASTOPOL, CA 95472-2765
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
718170
CA
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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