MEDICARE: ALANNA DOTSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1720517949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANNA DOTSON

Provider Business Mailing Address
First Line	:	4015 JAN ST
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-8723
Country	:	US
Telephone Number	:	713-566-0417
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 JAN ST
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-8723
Country	:	US
Telephone Number	:	713-566-0417
Fax Number	:	713-566-0417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2017
Last Update Date	:	06/09/2017

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Directions to “ ALANNA DOTSON ” Practice Location

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