Individual
ALONSO MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19531 MCLANE ST., SUITE B, PALM SPRINGS, CA 92262-6219
(760) 288-4579
(760) 288-3752
Mailing address
PO BOX 2651, PALM SPRINGS, CA 92263-2651
(760) 288-4579
(760) 288-3752
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
05/19/2021
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