Lisa Whittingslow-Alonzo
Community Health Worker in Victorville, CA. Individual provider (NPI-1).
NPI number1710550280
StatusActive
Last updated in NPPESJul 21, 2021
Details
- NPI
- 1710550280
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Whittingslow-Alonzo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Jul 21, 2021
- Last updated
- Jul 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
14223 Sepulveda DrVictorville, CA 92392-7610
Phone 760-662-0942
Mailing address
Po Box 1477Victorville, CA 92393-1477
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