Individual
ALYSSA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2280 DAMIEN AVE, LA VERNE, CA 91750-5210
(909) 596-1946
Mailing address
9327 AGAVE DR, HESPERIA, CA 92344-4691
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
2000017815
CA
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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