| NPI | 1649732249 |
|---|---|
| Former Name | ALYSSA OCAMPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95363355) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 283361) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-07-24 |