Individual
ALYSSA ROSE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 W MAIN ST, CHEHALIS, WA 98532-4815
(360) 999-8169
Mailing address
PO BOX 57, CENTRALIA, WA 98531-0057
(360) 508-7117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60520479
WA
376K00000X
Nurse's Aide
NC10097214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60520479
AGENCY AFFILIATED COUNSELOR
WA
01
—
NC10097214
NURSING ASSISTANT CERTIFICATION
WA
Enumeration date
11/08/2017
Last updated
03/17/2018
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