Individual
LYAH ALEXANDRA CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
Mailing address
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6269
(530) 621-7700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA65324
CA
Other
Enumeration date
05/02/2024
Last updated
03/17/2025
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