Individual
DR. LUISA RAHELL ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504
(951) 312-9596
Mailing address
PO BOX 649, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504-0649
(951) 312-9596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2528
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88350274
—
NM
Enumeration date
03/07/2007
Last updated
09/22/2011
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