Provider Demographics
NPI:1003780743
Name:MANDERNACH, YULIA STARIKOVA (CD(DONA))
Entity type:Individual
Prefix:
First Name:YULIA
Middle Name:STARIKOVA
Last Name:MANDERNACH
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5935 W HAUSMAN RD UNIT 53
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-0005
Mailing Address - Country:US
Mailing Address - Phone:858-736-7201
Mailing Address - Fax:
Practice Address - Street 1:5935 W HAUSMAN RD UNIT 53
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-0005
Practice Address - Country:US
Practice Address - Phone:858-736-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty