Individual
MRS. MARY LOU ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP1578815783
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-4111
(541) 592-3916
Mailing address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-5421
(281) 779-0723
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
202002885NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
721070
TX
363LA2200X
Adult Health Nurse Practitioner
95009439
CA
Other
Enumeration date
10/11/2012
Last updated
11/02/2024
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