Provider Demographics
NPI:1437982683
Name:SANTOS, LUISA CAROLINA SILVA (DOULA)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:CAROLINA SILVA
Last Name:SANTOS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:LUISA
Other - Middle Name:CAROLINA SILVA
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:6211 PANAMA AVE APT A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-5722
Mailing Address - Country:US
Mailing Address - Phone:510-807-7538
Mailing Address - Fax:
Practice Address - Street 1:6211 PANAMA AVE APT A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-5722
Practice Address - Country:US
Practice Address - Phone:510-807-7538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty