Individual
ALICIA MOEZ WAYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
777 KNOWLES DR STE 16, LOS GATOS, CA 95032-1448
(408) 374-1320
Mailing address
1720 SW 4TH AVE APT 1609, PORTLAND, OR 97201-5561
(808) 765-8204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028442
CA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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