License Directory

Alive Providers, Inc.

Active

California 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

More from the license record

License type code
8008

Contact

1671 Watertrough Rd
Sebastopol, CA 95472-4647
Sonoma County