Individual
ALYSSA AUDREY BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 TALLY HO TRL, BOULDER, CO 80301-3863
(530) 386-6371
Mailing address
4575 TALLY HO TRL, BOULDER, CO 80301-3863
(530) 386-6371
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
14903
CO
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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