Provider Demographics
NPI:1912768730
Name:ALVENDIA, CATALINA MONTALVO
Entity Type:Individual
Prefix:
First Name:CATALINA
Middle Name:MONTALVO
Last Name:ALVENDIA
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 1:2612 WABASH CIR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-8848
Mailing Address - Country:US
Mailing Address - Phone:775-200-3552
Mailing Address - Fax:
Practice Address - Street 1:2612 WABASH CIR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8848
Practice Address - Country:US
Practice Address - Phone:775-200-3552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home