Individual
ALFONSO MANUEL DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, GME OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(951) 288-6525
Mailing address
11234 ANDERSON ST, GME OFFICE CP 21005, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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