Alissa Cheyenne Berezay

NPI 1417240698 - Counselor - 101YA0400X

NPI Details
NPI 1417240698
Gender Female
Enumeration Date 05/23/2011
Last Updated 05/23/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
103 MODESTO AVE
MODESTO CA, 95354-0414, US
Phone (209) 527-4597
Fax
Business Location
103 MODESTO AVE
MODESTO CA, 95354-0414, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mrs. Alissa Cheyenne Berezay NPI is 1417240698, taxonomy code is 101YA0400X Alissa Cheyenne Berezay physically located at 103 Modesto Ave, Modesto CA, 95354-0414. NPI Number Alissa Cheyenne Berezay has the Individual type.

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1417240698 NPI number is provided on an as is basis without warranty of any kind. 1417240698 is maintained by the National Plan & Provider Enumeration System. The contents of Alissa Cheyenne Berezay are for informational purposes only.