Individual
ALYSSA KATHRYN WARGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2090 NEVADA CITY HWY, GRASS VALLEY, CA 95945-7702
(530) 274-5020
(530) 274-6687
Mailing address
12501 WANDERER RD, AUBURN, CA 95602-8124
(530) 613-3725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15236
PHYSICIAN ASSISTANT
CA
Enumeration date
02/27/2007
Last updated
02/22/2017
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