Provider Demographics
NPI:1861633901
Name:DAYMON, ALYSSA KATHLEEN (MPAS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:KATHLEEN
Last Name:DAYMON
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:57675 29 PALMS HWY
Mailing Address - Street 2:#111
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-3072
Mailing Address - Country:US
Mailing Address - Phone:760-365-8500
Mailing Address - Fax:760-365-8599
Practice Address - Street 1:57675 29 PALMS HWY
Practice Address - Street 2:SUITE 111
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3098
Practice Address - Country:US
Practice Address - Phone:760-365-8500
Practice Address - Fax:760-365-8599
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2017-01-12
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Provider Licenses
StateLicense IDTaxonomies
CAPA21830363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant