Individual
ALISSA LILLIAN WALL KLEINHENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 PARNASSUS AVE # 119, SAN FRANCISCO, CA 94143-2204
(415) 476-1529
Mailing address
505 PARNASSUS AVE # 119, SAN FRANCISCO, CA 94143-2204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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