Ada Guadalupe Alonzo
Early Intervention Provider Agency in Charles Town, WV. Individual provider (NPI-1).
NPI number1104710441
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1104710441
- Entity type
- Individual (NPI-1)
- Name
- Ada Guadalupe Alonzo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
38 Trotting WayCharles Town, WV 25414-3316
Phone 202-400-0744
Mailing address
38 Trotting WayCharles Town, WV 25414-3316
Phone 202-400-0744
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