Individual
LEODEGARIO ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1661 S MAIN ST, HARRISONBURG, VA 22801-2728
(540) 564-7300
Mailing address
1661 S MAIN ST, HARRISONBURG, VA 22801-2728
(540) 564-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008550
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/02/2022
Last updated
07/12/2022
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