Individual
ADA GUADALUPE ALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 TROTTING WAY, CHARLES TOWN, WV 25414-3316
(202) 400-0744
Mailing address
38 TROTTING WAY, CHARLES TOWN, WV 25414-3316
(202) 400-0744
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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