Individual
JASON ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
13136 EL RIO RD, VICTORVILLE, CA 92392-8676
(937) 474-3352
Mailing address
13136 EL RIO RD, VICTORVILLE, CA 92392-8676
(937) 474-3352
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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