Alive Providers, Inc.
ActiveCalifornia license 555019
License
- Licensed by
- Medical Board of California
- License number
- 555019
- Status
- Active (Current)
- First issued
- November 29, 2022
- Expires
- November 30, 2026
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
1671 Watertrough Rd
Sebastopol, CA 95472-4647
Sebastopol, CA 95472-4647
Sonoma County