Provider Demographics
NPI:1871362699
Name:ALUVAGA, GUYLORD LWEGADO
Entity type:Individual
Prefix:MR
First Name:GUYLORD
Middle Name:LWEGADO
Last Name:ALUVAGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21639 29TH AVE S APT 304
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-7742
Mailing Address - Country:US
Mailing Address - Phone:253-392-7648
Mailing Address - Fax:
Practice Address - Street 1:21639 29TH AVE S APT 304
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-7742
Practice Address - Country:US
Practice Address - Phone:253-392-7648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61158002251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care