Individual
MRS. ALISA N BRIONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(260) 673-8962
(260) 483-5688
Mailing address
2100 GOSHEN RD, FORT WAYNE, IN 46808-1493
(260) 673-8962
(260) 483-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28179122A
IN
Other
Enumeration date
09/30/2019
Last updated
06/06/2024
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