Provider Demographics
NPI:1578143145
Name:ALEJOS, ALLISON D (RN, PHN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:D
Last Name:ALEJOS
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:D
Other - Last Name:CHAMBERLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3681 HOOVER ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-3911
Mailing Address - Country:US
Mailing Address - Phone:951-349-3430
Mailing Address - Fax:
Practice Address - Street 1:3681 HOOVER ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-3911
Practice Address - Country:US
Practice Address - Phone:951-349-3430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95063651163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health