Individual
ALYSSA MARIE MANSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1131 COMMUNITY PARKWAY, HOLLISTER, CA 95023
(831) 636-4020
Mailing address
1131 COMMUNITY PARKWAY, HOLLISTER, CA 95023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95341307
CA
164X00000X
Licensed Vocational Nurse
290487
CA
Other
Enumeration date
08/17/2015
Last updated
01/04/2024
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