Individual
JORGE E ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903-2757
(415) 652-4376
(415) 652-4376
Mailing address
8945 GOLF LINKS RD, OAKLAND, CA 94605-4124
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
05/29/2025
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