Individual
ALLYSA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8078 E SANTA ANA CANYON RD, ANAHEIM, CA 92808-1108
(714) 974-2900
Mailing address
8078 E SANTA ANA CANYON RD, ANAHEIM, CA 92808-1108
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
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