Individual
ALYSSA BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
480 FOURTH AVE STE 206, CHULA VISTA, CA 91910-4412
(619) 427-3361
(619) 827-0539
Mailing address
480 FOURTH AVE STE 206, CHULA VISTA, CA 91910-4412
(619) 427-3361
(619) 827-0539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59870
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2021
Last updated
07/13/2023
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