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Individual

ALFONSO BECERRA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
17051 SIERRA LAKES PKWY, FONTANA, CA 92336-1274
(909) 428-1800
(909) 428-0494
Mailing address
17051 SIERRA LAKES PKWY, FONTANA, CA 92336-1274
(909) 428-1800
(909) 428-0494

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19493
CA

Other

Enumeration date
12/21/2007
Last updated
05/02/2014
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