Individual
ALI PALISCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062-2239
(831) 996-1222
Mailing address
5465 OAK MEADOWS RD, MARIPOSA, CA 95338-8542
(209) 628-8789
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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