Provider Demographics
NPI:1063250157
Name:MARQUEZ, ALAINA LEE (DOULA)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:LEE
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:L
Other - Last Name:KALOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2033 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6703
Mailing Address - Country:US
Mailing Address - Phone:970-596-1642
Mailing Address - Fax:
Practice Address - Street 1:2033 N 20TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6703
Practice Address - Country:US
Practice Address - Phone:970-596-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula