Individual
ALYSE LAREN ALAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ENTERPRISE, ALISO VIEJO, CA 92656-6026
(949) 212-3871
Mailing address
8201 TAYLOR DR, HUNTINGTON BEACH, CA 92646-1551
(949) 212-3871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85254
CA
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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