Provider Demographics
NPI:1184457087
Name:JAMES, PATRICE TATIANA (DOULA)
Entity type:Individual
Prefix:
First Name:PATRICE
Middle Name:TATIANA
Last Name:JAMES
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 KENBERMA RD APT 2
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-1189
Mailing Address - Country:US
Mailing Address - Phone:857-206-9448
Mailing Address - Fax:
Practice Address - Street 1:1010 MASS AVE FL 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2854
Practice Address - Country:US
Practice Address - Phone:617-534-3190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula