Sparkman-Mendoza, Alysa Maren

Sparkman-Mendoza, Alysa Maren is an sole proprietor health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sparkman-Mendoza, Alysa Maren can be contacted via phone (209) 300-8800.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 300-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 820878 California

Profile Details

NPI number 1669983375
LBN Legal business name Sparkman-Mendoza, Alysa Maren
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2017
Last updated Oct 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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