Individual
DESTINY ALZATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
(909) 231-3922
Mailing address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037174
CA
Other
Enumeration date
02/14/2019
Last updated
10/29/2025
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