Provider Demographics
NPI:1568134468
Name:ALVARADO DE ALLAN, SANDRA ISABEL
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ISABEL
Last Name:ALVARADO DE ALLAN
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 1:19324 4TH PL SW
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98166-4100
Mailing Address - Country:US
Mailing Address - Phone:206-380-8585
Mailing Address - Fax:
Practice Address - Street 1:19324 4TH PL SW
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98166-4100
Practice Address - Country:US
Practice Address - Phone:206-380-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWDL12R31203B171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter