Provider Demographics
NPI:1538996632
Name:MERCADO-FORSECK, ALEJANDRA SOFIA (ALL SPECTRUM DOULA)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:SOFIA
Last Name:MERCADO-FORSECK
Suffix:
Gender:F
Credentials:ALL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 ADAMS RANCH CT
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-5321
Mailing Address - Country:US
Mailing Address - Phone:619-777-0241
Mailing Address - Fax:
Practice Address - Street 1:3035 ADAMS RANCH CT
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-5321
Practice Address - Country:US
Practice Address - Phone:619-777-0241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula