Provider Demographics
NPI:1194524504
Name:SOLIS, ALEJANDRA GUADALUPE
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:GUADALUPE
Last Name:SOLIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALEJANDRA
Other - Middle Name:GUADALUPE
Other - Last Name:SOLIS SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:233 FARMERS ALY
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-4885
Mailing Address - Country:US
Mailing Address - Phone:909-215-1893
Mailing Address - Fax:
Practice Address - Street 1:300 PORTAGE ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-4929
Practice Address - Country:US
Practice Address - Phone:269-337-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program