Provider Demographics
NPI:1871086009
Name:ALONZO, JHOSSELIN PAMELLA
Entity type:Individual
Prefix:
First Name:JHOSSELIN
Middle Name:PAMELLA
Last Name:ALONZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8655 DATAPOINT DR APT 509
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3263
Mailing Address - Country:US
Mailing Address - Phone:972-839-0832
Mailing Address - Fax:
Practice Address - Street 1:527 TUSKEGEE AIRMEN AVE.
Practice Address - Street 2:
Practice Address - City:SHEPPARD AFB,
Practice Address - State:TX
Practice Address - Zip Code:76311
Practice Address - Country:US
Practice Address - Phone:972-839-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians