Healthcare Provider Details
I. General information
NPI: 1114810884
Provider Name (Legal Business Name): MAGDALENA HJALMARSSON CME & AFMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
849 ALMAR AVE STE C511
SANTA CRUZ CA
95060-5875
US
IV. Provider business mailing address
849 ALMAR AVE STE C511
SANTA CRUZ CA
95060-5875
US
V. Phone/Fax
- Phone: 831-332-6892
- Fax:
- Phone: 831-332-6892
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: