Individual
MR. JAIME ALONZO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BS
Contact information
Practice address
1209 WYOMING ST, ALICE, TX 78332-3203
(361) 756-1170
Mailing address
1209 WYOMING ST, ALICE, TX 78332-3203
(361) 756-1170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704239496
MI
163WH0500X
Hemodialysis Registered Nurse
Primary
745771
TX
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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