Individual
ALEXANDER ERNEST LONGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 E PALMDALE BLVD, SUITE G, PALMDALE, CA 93550-4881
(661) 947-1595
(661) 272-0415
Mailing address
2809 CHUCKWAGON RD, PALMDALE, CA 93550-5993
(661) 526-4506
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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