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Alec Divalerio
NPI 1518658467 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1600 Sleater Kinney Rd Se
Lacey, WA 98503 - Phone
- (360) 456-0111
- Organisation at this address
- Panorama
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 4755 S 48th St, Tacoma, WA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington