Provider Demographics
NPI:1104524198
Name:ALFA, CHERIFA (MA-P)
Entity type:Individual
Prefix:
First Name:CHERIFA
Middle Name:
Last Name:ALFA
Suffix:
Gender:F
Credentials:MA-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 167TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-4554
Mailing Address - Country:US
Mailing Address - Phone:804-528-6441
Mailing Address - Fax:
Practice Address - Street 1:2340 167TH STREET CT E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-4554
Practice Address - Country:US
Practice Address - Phone:804-528-6441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPC61180778246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy