Provider Demographics
NPI:1427276864
Name:ALESSI, PATRICIA QUINN (L AC, MS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:QUINN
Last Name:ALESSI
Suffix:
Gender:F
Credentials:L AC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 S DORA
Mailing Address - Street 2:STE C
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482
Mailing Address - Country:US
Mailing Address - Phone:707-462-0800
Mailing Address - Fax:
Practice Address - Street 1:1081 S DORA
Practice Address - Street 2:STE C
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482
Practice Address - Country:US
Practice Address - Phone:707-462-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 6412171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist