Individual
ALLYSA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95174334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
PPO,HMO & MEDICARE
—
Enumeration date
12/08/2021
Last updated
12/08/2021
Update your record
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