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NPI Code Detail

MEDICARE: ALEXANDRIA ESTRADA

MEDICARE:   ALEXANDRIA  ESTRADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN733631CA

General Provider Information

NPI Number : 1497604821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA ESTRADA
Provider Business Mailing Address
First Line : 665 FERGUSON CT
Second Line :
City : DIXON
State : CA
Zip : 95620-4545
Country : US
Telephone Number : 209-416-2737
Fax Number :
Provider Business Practice Location Address
First Line : 3037 BRYANT PL
Second Line :
City : DAVIS
State : CA
Zip : 95618-1613
Country : US
Telephone Number : 209-416-2737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ ALEXANDRIA ESTRADA ” Practice Location

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