Provider Demographics
NPI:1144347337
Name:ROBLES, ALEJANDRA (DC)
Entity type:Individual
Prefix:MISS
First Name:ALEJANDRA
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 FIFTH AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901
Mailing Address - Country:US
Mailing Address - Phone:415-259-0415
Mailing Address - Fax:415-259-0430
Practice Address - Street 1:1534 FIFTH AVE
Practice Address - Street 2:STE 4
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901
Practice Address - Country:US
Practice Address - Phone:415-259-0415
Practice Address - Fax:415-259-0430
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30106111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor