Provider Demographics
NPI:1275020950
Name:MAGNE, ALLIANCE CLAIRE
Entity Type:Individual
Prefix:
First Name:ALLIANCE CLAIRE
Middle Name:
Last Name:MAGNE
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 1:2220 WIMBLEDON CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5760
Mailing Address - Country:US
Mailing Address - Phone:240-817-4330
Mailing Address - Fax:
Practice Address - Street 1:2220 WIMBLEDON CIR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5760
Practice Address - Country:US
Practice Address - Phone:240-847-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE