Individual
EDUARDO ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8755 AERO DR STE 230, SAN DIEGO, CA 92123-1750
(858) 256-2180
Mailing address
2535 KETTNER BLVD, SAN DIEGO, CA 92101-1250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
09/22/2023
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