Individual
LISETTE OLIVIA ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
2604 S VERMONT AVE, LOS ANGELES, CA 90007-2298
(323) 731-3333
Mailing address
7969 CLETA ST, DOWNEY, CA 90241-4793
(562) 861-2746
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
689557
CA
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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