ALFONSO MANUEL

Nurse Practitioner

NPI: 1124563358IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

95005711(CA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2016

Contact & Hours

Address: 7653 COLDWATER CANYON CT
NORTH HOLLYWOOD, CA 91605
Phone: (818) 200-7062

Quick Facts

NPI: 1124563358
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 10

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