ALISA LICON

UPLAND, CA
NPI1568315836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95036899)
Enumeration Date2026-02-17
Last Update Date2026-02-17
Business Address
ALISA LICON FNP-C
685 N 13TH AVE
UPLAND, CA 91786-4916
Phone number: 909-981-8383
Mailing Address
ALISA LICON FNP-C
685 N 13TH AVE STE 10
UPLAND, CA 91786-4963
Phone number: