Provider Demographics
NPI:1629337415
Name:GADIANA, CHRISTIAN DEL CARMEN (CNA)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:DEL CARMEN
Last Name:GADIANA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4176 LIND AVE SW
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-4973
Mailing Address - Country:US
Mailing Address - Phone:425-226-0707
Mailing Address - Fax:
Practice Address - Street 1:4176 LIND AVE SW
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4973
Practice Address - Country:US
Practice Address - Phone:425-226-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC10043062374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician