Individual
ALYSSA BERTHIAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Mailing address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 853-1928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95248665
CA
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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