ALONZO MEDINA

ANTHONY, NM
NPI1386767390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies174400000X Specialist
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
-- ALONZO MEDINA MS
820 HWY 478
ANTHONY, NM 88021
Phone number: 505-882-5101
Mailing Address
-- ALONZO MEDINA MS
P.O. BOX 2285
LAS CRUCES, NM 88004
Phone number: 505-882-5101
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