Provider Demographics
NPI:1568230472
Name:ALFORD, BRITTANY (IDMT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:ALFORD
Suffix:
Gender:F
Credentials:IDMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 OAK ST
Mailing Address - Street 2:
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263-2421
Mailing Address - Country:US
Mailing Address - Phone:210-996-9526
Mailing Address - Fax:
Practice Address - Street 1:329 OAK ST
Practice Address - Street 2:
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263-2421
Practice Address - Country:US
Practice Address - Phone:210-996-9526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical TechniciansGroup - Multi-Specialty