Healthcare Provider Details

I. General information

NPI: 1407485444
Provider Name (Legal Business Name): MARIA GUADALUPE ALEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S 336TH ST STE 210
FEDERAL WAY WA
98003-5948
US

IV. Provider business mailing address

4800 SAND POINT WAY NE # OC.7830
SEATTLE WA
98105-3901
US

V. Phone/Fax

Practice location:
  • Phone: 253-383-5777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.MD.61414684
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: