Individual
ALYSSA AKIMI MATSUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9221 SIERRA COLLEGE BLVD STE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
Mailing address
384 SPINNAKER WAY, SACRAMENTO, CA 95831-3235
(916) 799-2583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34284TLG
CA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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