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Individual

ANJE'LE ZHANTIL ALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9985 SIERRA AVE, FONTANA, CA 92335-6720
(760) 687-3896
Mailing address
9985 SIERRA AVE, FONTANA, CA 92335-6720

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13270654-1204
UT
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
20A22925
CA

Other

Enumeration date
04/06/2020
Last updated
02/25/2025
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