Individual
ALYSSA R MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5681 RAINTREE WAY, OCEANSIDE, CA 92057-4813
(239) 600-5231
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(239) 600-5231
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548229207
USN
—
Enumeration date
10/08/2020
Last updated
10/08/2020
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