Provider Demographics
NPI:1871183673
Name:HURWITZ, SAUNDRA ROSE LEIALOHAMAIKALANIMAI
Entity Type:Individual
Prefix:
First Name:SAUNDRA ROSE
Middle Name:LEIALOHAMAIKALANIMAI
Last Name:HURWITZ
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 1:10106 GREENWOOD AVE N APT 304
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9178
Mailing Address - Country:US
Mailing Address - Phone:808-895-2534
Mailing Address - Fax:
Practice Address - Street 1:10106 GREENWOOD AVE N APT 304
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9178
Practice Address - Country:US
Practice Address - Phone:808-895-2534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604-374-077374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula