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JASON ALONZO IDMT

Independent Duty Medical Technicians >> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1003132333

Individual Registrant:
 JASON  ALONZO IDMT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13136 EL RIO RD  VICTORVILLE, CA 92392-8676 US
Tel: 937-474-3352  Fax: --

Contact information for business:
13136 EL RIO RD  VICTORVILLE, CA 92392-8676 US
Tel: 937-474-3352  Fax: --

Registration Information:
NPI: 1003132333
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1003XOther Service Providers
Military Health Care Provider
Independent Duty Medical Technicians

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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