Individual
MRS. ANNABELLE ALONZO CUSTODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9041 MAGNOLIA AVE STE 206, RIVERSIDE, CA 92503-3956
(951) 354-0676
(951) 354-5786
Mailing address
9041 MAGNOLIA AVE SUITE 206, RIVERSIDE, CA 92503-3956
(951) 354-0676
(951) 354-5786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18332
CA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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