Individual
ALYSSA LAUREN DECATUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1737 CHALMERS ST UNIT 101, SAN DIEGO, CA 92103-4768
(989) 482-5732
Mailing address
1737 CHALMERS ST UNIT 101, SAN DIEGO, CA 92103-4768
(989) 482-5732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027872
CA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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