Tuazon, Mitzilene Anne Alfonso

Tuazon, Mitzilene Anne Alfonso is an individual health care provider with primary practice located at 4475 S Eastern Ave , Las Vegas NV 89119-7826. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tuazon, Mitzilene Anne Alfonso can be contacted via phone (702) 737-1880.

Contact Information

Primary practice address
4475 S Eastern Ave Las Vegas NV 89119-7826
Phone: (702) 737-1880
Fax: (702) 650-2458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 157598 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 157598 Florida

Profile Details

NPI number 1528402351
LBN Legal business name Tuazon, Mitzilene Anne Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Aug 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528402351 NPPES
Nevada Other SMA MEDICARE V114219

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