Individual
ALYSON ELIZABETH MILLENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
837 ADDISON ST, BERKELEY, CA 94710-2047
(510) 981-4100
Mailing address
2251 YELLOWSTONE DR, MARTINEZ, CA 94553-5441
(925) 285-8134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95368392
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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