Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003145707 |
---|---|
Provider Name | Mayra Alejandra Alvarez |
First Address | Compton, CA 90221-3303 |
Second Address | Compton, CA 90221-3303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |