Individual
ALYSSA PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1400 E SOUTHERN AVE STE 310, TEMPE, AZ 85282-5695
(877) 279-0891
Mailing address
10951 N 91ST AVE LOT 241, PEORIA, AZ 85345-8651
(623) 414-6837
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
11342A
AZ
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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