Individual
DIANE ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 STELLER WAY, KODIAK, AK 99615-6490
(907) 942-1294
Mailing address
412 MAPLE AVE, KODIAK, AK 99615-6173
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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