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Individual

MR. ALFONSO MONTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
5822 HAZEL AVE, ORANGEVALE, CA 95662-4512
(916) 988-1146
(916) 348-7468
Mailing address
5822 HAZEL AVE, ORANGEVALE, CA 95662-4512
(916) 988-1146
(916) 348-7468

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
162670
CA

Other

Enumeration date
12/19/2012
Last updated
12/19/2012
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