Alyssa Lee Jetmore

NPI #1003643222 in Berkeley, California

Provider Information

NPI Number: 1003643222
Entity Type: Individual
Name: Alyssa Lee Jetmore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Sep 19, 2024
Last Updated: Sep 19, 2024

Practice Location

Address: 1410 BONITA AVE
City: Berkeley
State: California
ZIP Code: 94709-1909
Phone: (510) 526-4765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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