Individual
ALEXANDRA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3125 MYERS ST BLDG 2, RIVERSIDE, CA 92503-5527
(951) 358-4840
Mailing address
785 N IDYLLWILD AVE, RIALTO, CA 92376-4815
(562) 348-5924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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