Individual
ALYSA-MARIE C SIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
Mailing address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014053
CA
Other
Enumeration date
02/28/2020
Last updated
01/13/2022
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