ALICIA MARIE MUCCIGROSSO

LOS ANGELES, CA
NPI1538472162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  21789)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NY  014104-1)
Enumeration Date2010-07-25
Last Update Date2013-11-20
Business Address
-- ALICIA MARIE MUCCIGROSSO PA-C
6330 SAN VICENTE BLVD SUITE 310
LOS ANGELES, CA 90048-5425
Phone number: 310-855-0751
Mailing Address
-- ALICIA MARIE MUCCIGROSSO PA-C
6330 SAN VICENTE BLVD SUITE 310
LOS ANGELES, CA 90048-5425
Phone number: 310-855-0751