Basic Information
| Provider Information | |||||||||
| NPI: | 1861099749 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VILLANEDA | ||||||||
| FirstName: | ALONDRA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5819 ROBINHOOD DR | ||||||||
| Address2: | |||||||||
| City: | EL SOBRANTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 948033547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108294829 | ||||||||
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| Practice Location | |||||||||
| Address1: | 470 CHADBOURNE RD | ||||||||
| Address2: | |||||||||
| City: | FAIRFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945349600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074198989 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2020 | ||||||||
| LastUpdateDate: | 10/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 95219621 | CA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.