Provider Demographics
NPI:1417475617
Name:SALVALEON-CUA, DANNA (LVN)
Entity Type:Individual
Prefix:
First Name:DANNA
Middle Name:
Last Name:SALVALEON-CUA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 CAMELLIA DR
Mailing Address - Street 2:
Mailing Address - City:E PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-2651
Mailing Address - Country:US
Mailing Address - Phone:650-278-0105
Mailing Address - Fax:
Practice Address - Street 1:1247 CAMELLIA DR
Practice Address - Street 2:
Practice Address - City:E PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-2651
Practice Address - Country:US
Practice Address - Phone:650-278-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN274217164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse