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Alonso Breach

NPI 1710871033 · on the registry since 2025 · sole proprietor

Practice

Address
2906 W South Mountain Rd
Laveen, AZ 85339
Phone
(619) 831-0437
Fax
(619) 785-3404

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ZZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona