Individual
ALESIA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1253 BROADWAY, #418, EL CAJON, CA 92021-4902
(760) 333-9792
Mailing address
1253 BROADWAY, #418, EL CAJON, CA 92021-4902
(760) 333-9792
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 510
CA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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