Individual
ALFONS N MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 MERIDIAN ST, SAN JACINTO, CA 92583-6060
(951) 807-4524
Mailing address
1865 MERIDIAN ST, SAN JACINTO, CA 92583-6060
(951) 807-4524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9WFT999
CA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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