Chung, Alessandra Maria-Rene

Chung, Alessandra Maria-Rene is an individual health care provider with primary practice located at 10510 Gravelly Lake Dr Sw , Lakewood WA 98499-5036. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. Chung, Alessandra Maria-Rene can be contacted via phone (253) 789-7030.

Contact Information

Primary practice address
10510 Gravelly Lake Dr Sw Lakewood WA 98499-5036
Phone: (253) 789-7030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27965 Alaska
Nursing Service Providers / Case Management 163WC0400X RN00170844 Washington

Profile Details

NPI number 1942530191
LBN Legal business name Chung, Alessandra Maria-Rene
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2010
Last updated Apr 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942530191 NPPES
Alaska MEDICAID MH0150

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