Individual
ALLANA MARIE MICLAT ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24100 MONROE AVE, MURRIETA, CA 92562-9507
(951) 600-4640
Mailing address
3883 BUCHANAN ST SPC 17, RIVERSIDE, CA 92503
(951) 271-6821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51955
CA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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