Individual
ALYSSA MARIE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 HOWE AVE, SACRAMENTO, CA 95825-3912
(844) 664-2248
Mailing address
9430 MIRA DEL RIO DR, SACRAMENTO, CA 95827-1061
(916) 832-1651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95394964
CA
163WC0400X
Case Management Registered Nurse
95394964
CA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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