Individual
MRS. MIRIAM NOEMI ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 WADE AVE, CATONSVILLE, MD 21228-4663
(410) 402-6000
(410) 402-7997
Mailing address
6301 CANDLEWICKE CT, SYKESVILLE, MD 21784-8115
(410) 795-8628
(410) 795-8628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0001912
MD
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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