Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003246091 |
---|---|
Provider Name | Christina Dado-Alvarenga |
First Address | San Jose, CA 95131-1888 |
Second Address | San Jose, CA 95131-1888 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2013 |
Last Update Date | 12/11/2013 |