Basic Information
| Provider Information | |||||||||
| NPI: | 1407240070 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | STRONG MAMAS DOULA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3265 EDINBURGH DR | ||||||||
| Address2: | |||||||||
| City: | LIVERMORE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945511782 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5303559534 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3265 EDINBURGH DR | ||||||||
| Address2: | |||||||||
| City: | LIVERMORE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945511782 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5303559534 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2015 | ||||||||
| LastUpdateDate: | 03/23/2015 | ||||||||
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| AuthorizedOfficialLastName: | LEACH | ||||||||
| AuthorizedOfficialFirstName: | HAILEY | ||||||||
| AuthorizedOfficialMiddleName: | LYNNAE | ||||||||
| AuthorizedOfficialTitleorPosition: | DOULA | ||||||||
| AuthorizedOfficialTelephone: | 5303559534 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QB0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Birthing |
No ID Information.