Individual
ALFONSO NATHAN MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 MYERS ST STE 2, RIVERSIDE, CA 92503-5527
(951) 464-5034
Mailing address
24560 SUMMERFIELD DR, MORENO VALLEY, CA 92557-5129
(951) 464-5034
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/24/2024
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