Alaysia Freetly

NPI #1609636182 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1609636182
Entity Type: Individual
Name: Alaysia Freetly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 20, 2024
Last Updated: Mar 20, 2024

Practice Location

Address: 4480 CENTERVILLE RD
City: White Bear Lake
State: Minnesota
ZIP Code: 55127-3674
Phone: (651) 484-2724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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