Provider Demographics
NPI:1316447675
Name:DEL CLARO, ANA CECILIA
Entity type:Individual
Prefix:
First Name:ANA CECILIA
Middle Name:
Last Name:DEL CLARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BELLEVUE AVE E APT 201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5594
Mailing Address - Country:US
Mailing Address - Phone:206-519-8770
Mailing Address - Fax:
Practice Address - Street 1:103 BELLEVUE AVE E APT 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5594
Practice Address - Country:US
Practice Address - Phone:206-519-8770
Practice Address - Fax:206-519-8770
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60776988183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician