JOSE LUIS ALONSO

ORMOND BEACH, FL
NPI1629342076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-03-02
Last Update Date2012-03-02
Business Address
Mr. JOSE LUIS ALONSO IDC
3560 OCEAN SHORE BLVD
ORMOND BEACH, FL 32176-2178
Phone number: 386-366-4888
Mailing Address
Mr. JOSE LUIS ALONSO IDC
3560 OCEAN SHORE BLVD
ORMOND BEACH, FL 32176-2178
Phone number: 386-366-4888