Individual
ALYSSA CATHERINE NAKAGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8762
(559) 353-8257
(559) 353-5515
Mailing address
790 OVERSTONE AVE, MADERA, CA 93636-8031
(559) 430-6350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F4655398
CALIFORNIA DMV
CA
Enumeration date
09/16/2020
Last updated
09/16/2020
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