Individual
DIANA NICOLE ALONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1789 US HIGHWAY 77, LOTT, TX 76656-3654
(219) 604-1068
Mailing address
2409 NEIL ARMSTRONG DR APT 2C, WEST LAFAYETTE, IN 47906-3854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7903
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/24/2017
Last updated
07/22/2019
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