Provider Demographics
NPI:1457945263
Name:ALVAREZ, KATHRYN JOYCE (CPHT)
Entity Type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:JOYCE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 MUIR PLACE CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1966
Mailing Address - Country:US
Mailing Address - Phone:669-268-7822
Mailing Address - Fax:
Practice Address - Street 1:105 E EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1937
Practice Address - Country:US
Practice Address - Phone:408-991-9013
Practice Address - Fax:408-991-9025
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA173711183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician