Provider Demographics
NPI:1154178044
Name:GARCIA, ALEJANDRA (FDN-P)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8725 VIA EL DORADO
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-1441
Mailing Address - Country:US
Mailing Address - Phone:909-297-6905
Mailing Address - Fax:
Practice Address - Street 1:10281 TRADEMARK ST STE A
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5846
Practice Address - Country:US
Practice Address - Phone:909-297-6905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty