Individual
LEILA M ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CHURCH ST, EVERETT, MA 02149-2718
(781) 306-4820
(781) 393-6554
Mailing address
1052 SALEM ST, MALDEN, MA 02148-4646
(617) 594-9449
(781) 321-8187
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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