Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 86618 | CA |
NPI | 1003260209 |
---|---|
Provider Name | Alyssa R Najera |
First Address | Riverbank, CA 95367-1192 |
Second Address | Oakdale, CA 95361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 03/11/2020 |