Provider Demographics
NPI:1487470308
Name:WILKES, DACE NALANI (POSTPARTUM DOULA)
Entity type:Individual
Prefix:
First Name:DACE
Middle Name:NALANI
Last Name:WILKES
Suffix:
Gender:F
Credentials:POSTPARTUM DOULA
Other - Prefix:
Other - First Name:DACE
Other - Middle Name:NALANI
Other - Last Name:CORLETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:POSTPARTUM DOULA
Mailing Address - Street 1:9984 SCRIPPS RANCH BLVD # 182
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-1825
Mailing Address - Country:US
Mailing Address - Phone:858-371-1549
Mailing Address - Fax:
Practice Address - Street 1:9984 SCRIPPS RANCH BLVD # 182
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1825
Practice Address - Country:US
Practice Address - Phone:858-371-1549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula