ALYSSA BASEN LIGHT

WINSTON SALEM, NC
NPI1578086179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-07448)
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2017-07-25
Last Update Date2022-01-28
Business Address
ALYSSA BASEN LIGHT PA-C
1350 WHITAKER RIDGE DR
WINSTON SALEM, NC 27106
Phone number: 336-718-8000
Mailing Address
ALYSSA BASEN LIGHT PA-C
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: