Individual
ALYSSA BRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8522 C AVE APT 227, HESPERIA, CA 92345-5935
(909) 225-2644
Mailing address
8522 C AVE APT 227, HESPERIA, CA 92345-5935
(909) 225-2644
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90283
—
CA
Enumeration date
08/28/2020
Last updated
08/28/2020
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