Search › California › 172V00000X
Alyssa Jetmore
NPI 1003643222 · on the registry since 2024
Practice
- Address
- 1410 Bonita Ave
Berkeley, CA 94709 - Phone
- (510) 526-4765
- Fax
- (510) 526-2887
- Organisation at this address
- Bonita House, Inc.
Bonita House, Inc.
Bonita House, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Female
- Record last updated
- 2024-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California